Rescue for Emergency Surgery Patients Observed to uNdergo Acute Deterioration

Summary

This is a Five Year programme designed to identify and evaluate human factors interventions to improve the response to patients deteriorating following emergency surgery.

The programme comprises four work packages:

Work Package 1: Qualitative interviews and observations to analyse current rescue systems; Work Package 2: Identify and co-design interventions to improve rescue systems,involving both staff and patients and carers; Work Package 3: Mixed-methods feasibility trial across 3 sites in England, Work Package 4: Step-wedge randomised control trial based across 24 hospital sites in England, evaluating efficacy of interventions in improving response to deteriorating patients.

Conditions

• Failure to Rescue
• Emergencies

Interventions

BEHAVIORAL

FRAM Model and Human Factors/Quality Improvement Intervention

The group will use semi-structured interviews and ethnographic observations to inform development of a Functional Resonance Analysis Method (FRAM) model of the process for rescue of deteriorating patients in EGS, using information from 3 hospitals. A focus group approach will be used in co-designing reform of the system for responding to post-operative deterioration, working with small groups of frontline clinical staff from relevant areas in the three Trusts involved.

Sponsors & Collaborators

• Oxford University Hospitals NHS Trust

  collaborator OTHER

• University of Michigan

  collaborator OTHER

• University of Southern California

  collaborator OTHER

• University of Leicester

  collaborator OTHER

• University of Birmingham

  collaborator OTHER

• Jonkoping University

  collaborator OTHER

• LP Human Factors Ltd

  collaborator UNKNOWN

• Chelsea and Westminster NHS Foundation Trust

  collaborator OTHER

• HUMAN FACTORS EVERYWHERE

  collaborator UNKNOWN

• University of Oxford

  lead OTHER

Principal Investigators

• Peter McCulloch, MBChB, MD · University of Oxford

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Max Age

100 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-03-05

Primary Completion

2026-02-28

Completion

2026-02-28

Countries

• United Kingdom

Study Locations