Digestive Surgery
Conditions
Keywords
Surgery, Performance, Outcome, Control chart
Brief summary
This two arms parallel cluster-randomized trial will evaluate the impact of monitoring surgical outcomes using Shewhart control chart (intervention) on the occurence of major adverse events, among a large sample of French surgical departments. Trends in surgical outcomes before and after the intervention will be compared between arms.
Interventions
BEHAVIORALSurgical outcomes monitoring using Shewhart control chart
* Assistance by a local surgeon responsible for the implementation of intervention within his/her department * Quarterly team meeting to interpret variations in observed outcomes on the control charts * Restitution of surgical outcomes based on wall posters in operating room * Training sessions provided to local surgeon for appropriate control chart utilization
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- All adults needing a digestive surgery who are hospitalized in one of the 40 departments
Exclusion criteria
* Age \< 18 years old * Hospitalization \<24 hours * Absence of surgical procedure * Ambulatory care * Palliative care * Organ transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of any major adverse event during hospitalization | within 30 days following surgical procedure | Major adverse events include postoperative death, complication, unplanned intensive care stay or reoperation within 30 days of surgery. |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of any complication during hospitalization within 30 days of surgery | at the end of hospitalization |
| Occurrence of unplanned intensive care stay during hospitalization within 30 days of surgery | within 30 days following surgical procedure |
| Occurrence of any death during hospitalization within 30 days of surgery | within 30 days following surgical procedure |
| Number of hospital bed-days consumed | within 30 days following surgical procedure |
| Hospitalization costs from a health insurance perspective | within 30 days following surgical procedure |
| Occurrence of reoperation during hospitalization within 30 days of surgery | within 30 days following surgical procedure |
Countries
France
Outcome results
None listed