Table 1 Summary of how elements of Institute for Health Improvement Breakthrough Series Collaborative (IHI BSC) will be applied to the Quality Improvement for Surgical Teams (QIST) trial
Elements of collaborative | Planned approach/rationale for this study |
|---|---|
Topic selection | Real-world improvements seen with these MSSA and anaemia-screening protocols |
They are not yet widely used across the NHS | |
Faculty recruitment | CI and clinical lead trained in BSC methodology |
Team of experts recruited to help guide project and advise teams at learning events | |
Enrolment of teams | Calls for interested centres through BOA and NHS Improvement to all NHS Trusts in England to senior leaders, management and clinicians to increase support and engagement |
Selection procedure if more than 40 interested Trusts identified | |
All team members to be healthcare professionals and ideally GCP trained but this is not essential | |
Learning Sessions | Separate dates for anaemia and MSSA learning sessions to avoid contamination |
3 x 1-day, face-to-face group Learning Sessions per group | |
Attendees: experts, programme leads, improvement fellows, patient leaders and four study team members from each Trust | |
Content: teach Trusts the relevant protocol, review evidence, governance arrangements, business cases, communications, pathways, data collection and reporting arrangements | |
Further series of 3 Learning Sessions at the end of the study period to teach all Trusts both interventions | |
Action Periods | Local teams implement change and collect data to measure the impact of change |
Bespoke electronic data collection system will be developed and maintained throughout the study | |
Monthly progress reports will be sent to Trusts including number or operations performed compared to expected activity | |
Learning Sessions will act as networking events for collaborative working and problem-solving | |
Study team members will be contactable for further advice as required | |
Summative congress and publications | Initial summative session at the end of the 1st round of implementation for each separate trial arm |
Final summative session to be held with all teams and collaborators invited | |
Results to be presented at BOA Congress 2020 | |
Publication in high-impact journal will be sought | |
Potential influence on national guidelines | |
Measurement and evaluation | Bespoke IT system will automatically generate near-to-live run charts and improvement metrics for individual teams and the collaborative as a whole so that teams and faculty can track progress over time |