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@article{Birgand:2019:10.1186/s13063-019-3370-z,
author = {Birgand, G and Haudebourg, T and Grammatico-Guillon, L and Ferrand, L and Moret, L and Gouin, F and Mauduit, N and Leux, C and Le, Manach Y and Lepelletier, D and Tavernier, E and Lucet, J-C and Giraudeau, B},
doi = {10.1186/s13063-019-3370-z},
journal = {Trials},
title = {Improvement in staff behavior during surgical procedures to prevent post-operative complications (ARIBO2): study protocol for a cluster randomised trial},
url = {http://dx.doi.org/10.1186/s13063-019-3370-z},
volume = {20},
year = {2019}
}

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TY  - JOUR
AB  - BackgroundInappropriate staff behaviour during surgical procedures may disrupt the surgical performance and compromise patient safety. We developed an innovative monitoring and feedback system combined with an adaptive approach to optimise staff behaviour intraoperatively and prevent post-operative complications (POC) in orthopaedic surgery.Methods/designThis protocol describes a parallel-group, cluster randomised, controlled trial with orthopaedic centre as the unit of randomisation. The intervention period will last 6 months and will be based on the monitoring of two surrogates of staff behaviour: the frequency of doors opening and the level of noise. Both will be collected from incision to wound closure, using wireless sensors and sonometers, and recorded and analysed on a dedicated platform (Livepulse®). Staff from centres randomised to the intervention arm will be informed in real time on their own data through an interactive dashboard available in each operating room (OR), and a posteriori for hip and knee replacement POC. Aggregated data from all centres will also be displayed for benchmarking. A lean method will be applied in each centre by a local multidisciplinary team to analyse baseline situations, determine the target condition, analyse the root cause(s), and take countermeasures. The education and awareness of participants on the impact of their behaviour on patient safety will assist the quality improvement process. The control centres will be blinded to monitoring data and quality improvement approaches. The primary outcome will be any POC occurring during the 30 days post operation. We will evaluate this outcome using local and national routinely collected data from hospital discharge and disease databases. Thirty orthopaedic centres will be randomised for a total of 9945 hip and knee replacement surgical procedures.DiscussionThe field of human factors and behaviour in the OR seems to offer potential room for improvement. An intervention providi
AU  - Birgand,G
AU  - Haudebourg,T
AU  - Grammatico-Guillon,L
AU  - Ferrand,L
AU  - Moret,L
AU  - Gouin,F
AU  - Mauduit,N
AU  - Leux,C
AU  - Le,Manach Y
AU  - Lepelletier,D
AU  - Tavernier,E
AU  - Lucet,J-C
AU  - Giraudeau,B
DO  - 10.1186/s13063-019-3370-z
PY  - 2019///
SN  - 1745-6215
TI  - Improvement in staff behavior during surgical procedures to prevent post-operative complications (ARIBO2): study protocol for a cluster randomised trial
T2  - Trials
UR  - http://dx.doi.org/10.1186/s13063-019-3370-z
UR  - http://hdl.handle.net/10044/1/70414
VL  - 20
ER  -

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