Protocol for a multicentre, multistage, prospective study in China using system-based approaches for consistent...

Area of Science:

• Healthcare Management
• Patient Safety
• Surgical Outcomes

Background:

• Surgical safety is a critical global health concern, with slow progress in large-scale improvements, particularly in developing nations like China.
• Existing safety tools have limitations, necessitating novel, integrated approaches for perioperative care.

Purpose of the Study:

• To develop and validate a system-based, integrated safety management system for surgery and anesthesia.
• To reduce perioperative deaths and complications through a multicentre, multistage project in China.

Main Methods:

• A multicentre, multistage design involving 1,200,000 surgical inpatients across four Chinese hospitals.
• Collection and analysis of clinical and outcome data to inform a stratified safety intervention package.
• Utilizing information technology for data management, intervention implementation, and message transfer.

Main Results:

• The project aims to provide an evidence base for formulating and validating a comprehensive safety intervention package.
• Evaluation will focus on changes in mortality, complication rates, length of stay, and system adoption.
• Effectiveness and efficiency of the intervention will be assessed through data analysis.

Conclusions:

• The study will yield a validated, system-based safety intervention package tailored for the Chinese surgical context.
• Implementation of this package is expected to enhance patient safety and improve surgical outcomes.
• Findings will guide the promotion of improved surgical safety management systems in China and potentially other developing countries.