Scaling and spreading the electronic capture of patient-reported outcomes using a national surgical quality improvement programme: a feasibility study protocol

BMJ Open Quality

article

Alexa D Melucci¹  Jason B Liu²  Brian C Brajcich³  Courtney E Collins⁴  Hadiza S Kazaure⁵  Clifford Y Ko⁶  Andrea L Pusic⁸  Larissa K Temple¹ 

[1] Department of Surgery , University of Rochester Medical Center;Department of Surgery , University of Pittsburgh Medical Center Health System;Department of Surgery, Surgical Outcomes and Quality Improvement Center ,(SOQIC) , Northwestern Medicine;Department of Surgery , The Ohio State University College of Medicine;Department of Surgery , Duke University School of Medicine;Division of Research and Optimal Patient Care , American College of Surgeons;Department of Surgery , University of California Los Angeles;Department of Surgery , Brigham Health, Brigham and Women's Hospital

关键词: Healthcare quality improvement;    Access to Information;    Health services research;    Quality improvement methodologies;    Patient Reported Outcome Measures;   

DOI  :  10.1136/bmjoq-2022-001909

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Introduction Patient-reported outcomes (PROs) are important for research, patient care and quality assessment; however, large-scale collection among the US surgical patient population has been limited. A structured implementation and dissemination programme focused on electronic PRO collection could improve the use of PROs data to improve surgical care. This study aims to (1) evaluate the feasibility of PRO collection among a larger volume of surgical patients through the stepwise implementation of PRO collection processes in a sample of American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) hospitals; (2) identify best practices and barriers to PRO collection through qualitative study of participating hospitals and patients; and (3) evaluate the utility of PROs at detecting differences in the quality of care among surgical patients.Methods and analysis ACS NSQIP-participating hospitals are being recruited, and patients at participating hospitals who undergo elective surgical procedures receive invitations via e-mail or short message service ‘text’message to complete PROs after surgery. Validated PRO measures which evaluate physical and mental health-related quality of life, pain, fatigue, physical function and shared decision-making were selected. The scalability of PRO collection will be assessed by site enrolment, patient accrual and response rates. Qualitative interviews and focus groups will be performed with patients and hospital personnel to identify best practices and barriers to successful enrolment and PRO collection. Multivariable hierarchical regression models will be used to evaluate the distinctness of PROs from clinical outcomes captured in ACS NSQIP and the ability of PROs to detect differences in hospital performance.Ethics and dissemination This study was reviewed by the Advarra Institutional Review Board (IRB) and deemed to be exempt from IRB oversight. Findings will be disseminated through peer-reviewed manuscripts, reports and presentations.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND