A mixed methods study protocol evaluating early screening, triaging, risk assessment and health optimisation in...

Area of Science:

• Surgical pathway optimization
• Healthcare system improvement
• Patient safety research

Background:

• Millions of UK surgeries annually carry risks, with late preoperative assessments limiting patient optimization.
• Early preoperative screening aims to mitigate risks and improve outcomes.
• A new NHS England program mandates early screening, risk assessment, and health optimization.

Purpose of the Study:

• To evaluate the implementation and impact of the new NHS England early preoperative screening program.
• To identify barriers and facilitators to program implementation.
• To assess the program's effect on patient-centered outcomes.

Main Methods:

• Mixed methods research design combining qualitative and quantitative approaches.
• Formative implementation evaluation using staff and patient interviews and meeting observations.
• Interrupted time series analysis of routinely collected electronic health records for patient outcomes.

Main Results:

• Qualitative data will reveal implementation barriers, facilitators, and user experiences.
• Quantitative analysis will assess the program's impact on key patient outcomes.
• Outcomes include days alive out of hospital, length of stay, and readmission rates.

Conclusions:

• The study will offer valuable insights into implementing early preoperative screening programs.
• Findings will inform future strategies for enhancing surgical patient safety and efficiency.
• Understanding staff and patient experiences is crucial for successful program adoption.