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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
20,791
* Charting system for outcomes feedback * Profiling of individual surgeon * Modules of improvement
Hospices Civils de Lyon
Lyon, France
Occurrence of major adverse event
Time frame: During surgery or within 30 days after the operation
Occurrence of death
Time frame: During surgery or within 30 days after the operation
Occurrence of unplanned stay in critical/intensive care unit
Time frame: Within 30 days after the operation
Occurrence of unplanned reoperation
Time frame: Within 30 days after the operation
Occurrence of intraoperative and postoperative complications
Time frame: During surgery or within 30 days after the operation
: Occurrence of avoidable hospital readmission for complication
Time frame: Within 30 days after the operation
Operative time
Time frame: From skin incision to wound closure
Length of stay
Time frame: From hospital admission to discharge, within 30 days after operation
Hospitalization costs
Time frame: Within 30 days after the operation
Surgeon well-being
Time frame: Throughout the study, Through study completion, an average of 1 year
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