None listed
Conditions
Brief summary
The Registry of Stroke Care Quality (RES-Q) is a global stroke registry used to collect stroke quality of care metrics with benchmarking at both hospital and national levels. RES-Q provides real-time feedback to participating hospitals via reports on demand and dashboards. Providing feedback on the registry data to hospitals and clinicians helps them identify and prioritize areas for stroke care quality improvement. Findings from our recent survey of hospitals participating in RES-Q showed that feedback of RES-Q data to hospital staff and department heads about progress in stroke management was suboptimal. Although there was a high awareness of RES-Q hospital reports and dashboards, staff downloads and views respectively, were low. Current RES-Q feedback mechanisms are passive and rely on the active role of users, which is only partly successful. For RES-Q data to be more effective in driving clinical practice change, evidence-based performance feedback mechanisms are needed. Hence the aim of this study is to evaluate the effectiveness of a feedback prompt intervention involving a ‘push’ email, comprising a message encouraging use of RES-Q data for quality improvement with a link to the RES-Q hospital report and dashboard, sent to the RES-Q hospital coordinators in improving report generating, dashboard viewing and stroke care processes. A randomised controlled trial will be undertaken. Hospitals participating in RES-Q will be randomised to the feedback prompt intervention or a control group. All hospitals registered with RES-Q and entering data to the RES-Q database up to 31st July 2024 will be eligible for inclusion in the study. The study findings have the potential to increase hospitals’ use of RES-Q data to drive practice change within their stroke unit/service.
Interventions
RES-Q will send a feedback email prompt from the administration email (with the signature block of the Chair of the RES-Q International Scientific Committee) to all eligible RES-Q local coordinators randomised to the intervention group. The content of the email message is aimed at encouraging the RES-Q local coordinators to view and use their hospital data to improve practice and promote stroke care quality improvement. It will be designed to meet nine of the 15 recommendations believed to be as
RES-Q will send a feedback email prompt from the administration email (with the signature block of the Chair of the RES-Q International Scientific Committee) to all eligible RES-Q local coordinators randomised to the intervention group. The content of the email message is aimed at encouraging the RES-Q local coordinators to view and use their hospital data to improve practice and promote stroke care quality improvement. It will be designed to meet nine of the 15 recommendations believed to be associated with effective audit and feedback interventions. The email will include instructions on how to access the report and dashboard via the link to the secure RES-Q Data Management Portal as well as information on how to generate the RES-Q report (PowerPoint and excel/csv file format). The RES-Q local coordinators will also be encouraged to share the report with other members of their hospital stroke team and use the data for quality improvement. A copy of the report will not be included in the email, only instructions on how to access and generate the report. The feedback prompt intervention email will be sent monthly by RES-Q. Hence, a total of 12 identical emails will be sent to the RES-Q local coordinators over the 12-month intervention period (one per calendar month). To monitor adherence to the intervention, emails will be sent to RES-Q local coordinators via the Mailchimp Platform to determine email delivery and/or email opened rates.
Sponsors
Australian Catholic University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All hospitals registered with RES-Q and entering data to the RES-Q database up to 31st July 2024 will be eligible for inclusion in the study. Hospitals that captured data on more than 10 patients in 2024 will be categorised as active and those capturing data on 10 patients or less will be classified as inactive. All active and inactive hospitals registered with RES-Q will be included in the study.
Exclusion criteria
Nil
Outcome results
None listed