Table 1 Overview of the ARIBO2 intervention, as per Template for Intervention Description and Replication (TIDieR) criteria
TIDieR criteria | Description of intervention and quality control procedures |
|---|---|
Brief name | ARIBO2 intervention |
Why? | Inappropriate staff behaviour during surgical procedures may lead to a low performance and compromise patient safety. An innovative monitoring and feedback system combined with an adaptive approach will be developed and evaluated to optimise intra-operative staff behaviour and prevent post-operative complications (POC) in orthopaedic surgery |
What materials? | An online application will provide data on door opening and level of noise in each participating operating room (OR) equipped with door sensors and sonometers, through a dashboard. Education material (slide shows) and communication tools (posters, leaflets and videos) delivered to OR staff |
What procedures? | A core measure will be the monitoring, feedback and benchmarking of door opening and noise levels through the online dashboard. This will be added as an education and awareness process. An adaptive approach based on a lean method (plan-do-check-act) will provide a contextual analysis and tailored action plan to reduce door opening and optimise the level of noise during orthopaedic surgery. The intervention will be characterized by various steps: clarifying the problem, specifying the baseline situation, determining the target condition, analysing the root cause(s) and taking countermeasures |
Who provided? | A local project liaison will be the link between the centre and the study team. She/he will participate in the implementation of the intervention (education and training, awareness, communication). The local project champion will be in charge of daily activities in the OR. A training session will be organised by the investigators for the project liaison and champion to give them key messages, detail the intervention and present the tools developed for the study Both will create an internal multidisciplinary group adapted for the design and implementation of the adaptive measures The multidisciplinary team will consist of an orthopaedic surgeon, an anaesthesiologist, a surgical nurse and a quality coordinator. They will be involved in the adaptive approach along the entire intervention period |
How? | Online dashboard providing feedback to OR staff in real time on their intra-operative behaviour (door opening and noise) and weekly, specifically during hip and knee replacement |
Where? | Orthopaedic operating rooms |
When and how much? | The intervention will be available for 6 months. A given patientwill only be exposed to the intervention once (primary hip and knee replacements). |
Tailoring | The adaptive approach will be tailored to the local context and current situation on door opening and noise in the OR. The multidisciplinary team will participate in the design of action plans tailored and adapted to the context |