Patient Satisfaction With Tiered OR Versus Status Quo OR

NCT03439631 | Completed

• 1 other identifier: 110936
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Operating room (OR) costs consume a significant portion of hospital budgets. Standard or "Status Quo" ORs are equipped with the same, fixed set of assigned resources, regardless of case complexity or actual resource requirements. Allocation of resources in standard ORs is the same whether the participant is having heart surgery or bunion removal. The investigators propose a strategy for OR design and set up wherein resources are carefully matched to procedure complexity as a novel means of healthcare delivery. This prospective, comparative cohort pilot study will compare two operating room (OR) setup designs. The Tiered OR setup (study intervention) will be an efficiently staffed and equipped OR, geared to the complexity of the surgical procedure. The level of care provided would be equivalent to that of an out-patient day surgery setup. The Status Quo OR setup (control intervention) will be a standard fully equipped, fully staffed OR.

Conditions

Surgery

Outcome Measures

Primary Outcomes (3)

• Patient surgical Experience Satisfaction survey

  patient satisfaction with surgical process

  2 weeks post surgery

• EQ5D- 5L

  change in patient satisfaction with quality of life

  2, 6 weeks, 3, 6 months

• NSQIP Patient Reported Surgical Satisfaction Questionnaire

  patient satisfaction with surgical process

  6 weeks post surgery

Secondary Outcomes (1)

• Resource Utilization Cost Data

  baseline to 6 months

Study Arms (2)

Tiered OR Satisfaction

ACTIVE COMPARATOR

Patient satisfaction questionnaire with surgical experience in Tiered OR

Other: Patient satisfaction questionnaire

Status Qou OR satisfaction

OTHER

Patient satisfaction questionnaire with surgical experience in Tiered OR

Other: Patient satisfaction questionnaire

Interventions

Patient satisfaction questionnaire OTHER

Patient satisfaction questionnaire

Status Qou OR satisfaction; Tiered OR Satisfaction

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥18 years of age
• No significant co-morbidities preventing outpatient day surgery
• Undergoing procedures considered a Low Surgical Resource Requirement of relatively short duration with minimal equipment needs (e.g. bunion, revisions, ankle fractures, removal of hardware etc.)
• Procedures allowing for standardization of equipment and staff

You may not qualify if:

• Refusal to participate
• Inability to provide informed consent
• Likely problems maintaining follow-up in the opinion of the investigator
• Undergoing multiple operative procedures
• Unable to read/write English even with the aid of an interpreter (for consent and questionnaire completion).

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead

Study Sites (1)

LHSC, Victoria Hospital

London, Ontario, N6A4B9, Canada

Location

Study Officials

• Abdel Lawendy

  Lawson HRI

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PI

Model Details: Tiered OR set up design will be compared to standard OR set up design as related to patient satisfaction with surgical experience

Study Record Dates

• First Submitted: February 7, 2018
• First Posted: February 20, 2018
• Study Start: February 28, 2018
• Primary Completion: November 10, 2023
• Study Completion: November 10, 2023
• Last Updated: November 13, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)