1. The Perioperative Quality Improvement Programme (PQIP patient study): protocol for a UK multicentre, prospective cohort study to measure quality of care and outcomes after major surgery
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S. Ramani Moonesinghe, Dermot McGuckin, Peter Martin, James Bedford, Duncan Wagstaff, David Gilhooly, Cristel Santos, Jonathan Wilson, Jenny Dorey, Irene Leeman, Helena Smith, Cecilia Vindrola-Padros, Kylie Edwards, Georgina Singleton, Michael Swart, Rachel Baumber, Arun Sahni, Samantha Warnakulasuriya, Ravi Vohra, Helen Ellicott, Anne-Marie Bougeard, Maria Chazapis, Aleksandra Ignacka, Martin Cripps, Alexandra Brent, Sharon Drake, James Goodwin, Dorian Martinez, Karen Williams, Pritam Singh, Matthew Bedford, Abigail E. Vallance, Katie Samuel, Jose Lourtie, Dominic Olive, Christine Taylor, Olga Tucker, Giuseppe Aresu, Andrew Swift, Naomi Fulop, Mike Grocott, and for the PQIP Project team and Clinical Reference Group more...
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Surgery ,RD1-811 - Abstract
Abstract Introduction Major surgery accounts for a substantial proportion of health service activity, due not only to the primary procedure, but the longer-term health implications of poor short-term outcome. Data from small studies or from outside the UK indicate that rates of complications and failure to rescue vary between hospitals, as does compliance with best practice processes. Within the UK, there is currently no system for monitoring postoperative complications (other than short-term mortality) in major non-cardiac surgery. Further, there is variation between national audit programmes, in the emphasis placed on quality assurance versus quality improvement, and therefore the principles of measurement and reporting which are used to design such programmes. Methods and analysis The PQIP patient study is a multi-centre prospective cohort study which recruits patients undergoing major surgery. Patient provide informed consent and contribute baseline and outcome data from their perspective using a suite of patient-reported outcome tools. Research and clinical staff complete data on patient risk factors and outcomes in-hospital, including two measures of complications. Longer-term outcome data are collected through patient feedback and linkage to national administrative datasets (mortality and readmissions). As well as providing a uniquely granular dataset for research, PQIP provides feedback to participating sites on their compliance with evidence-based processes and their patients’ outcomes, with the aim of supporting local quality improvement. Ethics and dissemination Ethical approval has been granted by the Health Research Authority in the UK. Dissemination of interim findings (non-inferential) will form a part of the improvement methodology and will be provided to participating centres at regular intervals, including near-real time feedback of key process measures. Inferential analyses will be published in the peer-reviewed literature, supported by a comprehensive multi-modal communications strategy including to patients, policy makers and academic audiences as well as clinicians. more...
- Published
- 2022
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