Surgery
Conditions
Brief summary
This two arms parallel cluster-randomized trial will evaluate the impact of a customized coaching program for surgeons on the occurrence of patient major adverse events. Trends in surgical outcomes before and after the intervention will be compared between surgeons randomly assigned to the coaching program against non-exposed surgeons.
Interventions
BEHAVIORALCoaching program
* Charting system for outcomes feedback * Profiling of individual surgeon * Modules of improvement
Sponsors
Hospices Civils de Lyon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* All adults needing a surgery who are operated by one of the participating surgeons
Exclusion criteria
* Age \< 18 years old * Absence of surgical procedure * Palliative care * Organ transplantation * Refusal for personal data sharing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of major adverse event | During surgery or within 30 days after the operation |
| Occurrence of death | During surgery or within 30 days after the operation |
| Occurrence of unplanned stay in critical/intensive care unit | Within 30 days after the operation |
| Occurrence of unplanned reoperation | Within 30 days after the operation |
| Occurrence of intraoperative and postoperative complications | During surgery or within 30 days after the operation |
| : Occurrence of avoidable hospital readmission for complication | Within 30 days after the operation |
| Operative time | From skin incision to wound closure |
| Length of stay | From hospital admission to discharge, within 30 days after operation |
| Hospitalization costs | Within 30 days after the operation |
| Surgeon well-being | Throughout the study, Through study completion, an average of 1 year |
Countries
France
Outcome results
None listed