Developing a ward round model able to achieve a safer and faster in-hospital course for general surgery patients, based on a daily meeting attended by all key professionals, and where key clinical information is discussed and decided upon, and actions' effectiveness and promptness monitored

Enhancing a safe general surgery patient flow by a modified 'SAFER Surgery Red2Green' multidisciplinary board round

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN13976096

Enrollment

800

Registered

2021-04-28

Start date

2017-01-01

Completion date

Unknown

Last updated

2023-04-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Developing a ward round model able to achieve a safer and faster in-hospital course for general surgery patients Not Applicable

Interventions

This is a before-after study, comparing the year 2016 (pre-intervention) versus the year 2017 (post-intervention). The service improvement project was approved by the division of surgery and periopera

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: All admissions to the general surgery ward from January 1st to December 31st 2017

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
Hospital stay and readmission outcome measures monitored weekly using the hospital Admission – Transfer – Discharge database for 12 months before versus 12 months after the intervention period: 1. Overall and weekly ward discharges and probability of discharge, chosen as overall flow measure; automatically computed by the hospital admission systems with no gaps 2. Length of stay of general surgery patients (from admission to discharge), as an overall measure of the patient pathway	—

Measure

Time frame

Hospital stay and readmission outcome measures monitored weekly using the hospital Admission – Transfer – Discharge database for 12 months before versus 12 months after the intervention period: 1. Overall and weekly ward discharges and probability of discharge, chosen as overall flow measure; automatically computed by the hospital admission systems with no gaps 2. Length of stay of general surgery patients (from admission to discharge), as an overall measure of the patient pathway

—

Secondary

Measure	Time frame
Monitored weekly using the hospital Admission – Transfer – Discharge database for 12 months before versus 12 months after the intervention period: 1. Elective surgery cancellations due to ACCU (ICU/HDU) and ward bed non-availability from the Department Administrative database 2. Feasibility of a “theatre go” policy (yes/no) as a marker of a stabilised trend of sufficient postoperative care capacity, from the Department Administrative database 3. ACCU (ICU/HDU) step-downs to the general surgery ward 4. Quality control measures: 30-day readmission rates (safety), ward bed capacity utilisation (efficiency) 5. Qualitative assessment: satisfaction rates by MDT board round participants per category. A qualitative measure on the project effectiveness and work environment appreciation, monthly providing a 1-5 score (mean %) to the following question: “Are you satisfied by the MDT board round as an occasion to share and action upon the patients’ issues and expedite their progress safely?”	—

Measure

Time frame

Monitored weekly using the hospital Admission – Transfer – Discharge database for 12 months before versus 12 months after the intervention period: 1. Elective surgery cancellations due to ACCU (ICU/HDU) and ward bed non-availability from the Department Administrative database 2. Feasibility of a “theatre go” policy (yes/no) as a marker of a stabilised trend of sufficient postoperative care capacity, from the Department Administrative database 3. ACCU (ICU/HDU) step-downs to the general surgery ward 4. Quality control measures: 30-day readmission rates (safety), ward bed capacity utilisation (efficiency) 5. Qualitative assessment: satisfaction rates by MDT board round participants per category. A qualitative measure on the project effectiveness and work environment appreciation, monthly providing a 1-5 score (mean %) to the following question: “Are you satisfied by the MDT board round as an occasion to share and action upon the patients’ issues and expedite their progress safely?”

—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 9, 2026