Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial

Abstract Background Although the provision of performance feedback to healthcare professionals based on data from quality registries is common practice in many fields of medicine, observational studies of its effect on the quality of care have shown mixed results. The objective of this study is to e...

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Autores principales:	Marzyeh Amini, Sanne J. den Hartog, Nikki van Leeuwen, Frank Eijkenaar, Laurien S. Kuhrij, Lotte J. Stolze, Paul J. Nederkoorn, Hester F. Lingsma, Adriaan C. G. M. van Es, Ido R. van den Wijngaard, Aad van der Lugt, Diederik W. J. Dippel, Bob Roozenbeek, on behalf of the PERFEQTOS Investigators
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Performance feedback Endovascular thrombectomy Stepped wedge cluster randomized trial Ischemic stroke Quality of care Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/12fd2822e0384f89b1618e0e683aa7b5
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spelling	oai:doaj.org-article:12fd2822e0384f89b1618e0e683aa7b52021-12-05T12:20:02ZPerformance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial10.1186/s13063-021-05819-z1745-6215https://doaj.org/article/12fd2822e0384f89b1618e0e683aa7b52021-12-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05819-zhttps://doaj.org/toc/1745-6215Abstract Background Although the provision of performance feedback to healthcare professionals based on data from quality registries is common practice in many fields of medicine, observational studies of its effect on the quality of care have shown mixed results. The objective of this study is to evaluate the effect of performance feedback on the quality of care for acute ischemic stroke. Methods PERFEQTOS is a stepped wedge cluster randomized trial in 13 hospitals in the Netherlands providing endovascular thrombectomy for ischemic stroke. The primary outcome is the hospital’s door-to-groin time. The study starts with a 6-month period in which none of the hospitals receives the performance feedback intervention. Subsequently, every 6 months, three or four hospitals are randomized to cross over from the control to the intervention conditions, until all hospitals receive the feedback intervention. The feedback intervention consists of a dashboard with quarterly reports on patient characteristics, structure, process, and outcome indicators related to patients with ischemic stroke treated with endovascular thrombectomy. Hospitals can compare their present performance with their own performance in the past and with other hospitals. The performance feedback is provided to local quality improvement teams in each hospital, who define their own targets on specific indicators and develop performance improvement plans. The impact of the performance feedback and improvement plans will be evaluated by comparing the primary outcome before and after the intervention. Discussion This study will provide evidence on the effectiveness of performance feedback to healthcare providers. The results will be actively disseminated through peer-reviewed journals, conference presentations, and various stakeholder engagement activities. Trial registration Netherlands Trial Register NL9090 . Registered on December 3, 2020Marzyeh AminiSanne J. den HartogNikki van LeeuwenFrank EijkenaarLaurien S. KuhrijLotte J. StolzePaul J. NederkoornHester F. LingsmaAdriaan C. G. M. van EsIdo R. van den WijngaardAad van der LugtDiederik W. J. DippelBob Roozenbeekon behalf of the PERFEQTOS InvestigatorsBMCarticlePerformance feedbackEndovascular thrombectomyStepped wedge cluster randomized trialIschemic strokeQuality of careMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Performance feedback Endovascular thrombectomy Stepped wedge cluster randomized trial Ischemic stroke Quality of care Medicine (General) R5-920
spellingShingle	Performance feedback Endovascular thrombectomy Stepped wedge cluster randomized trial Ischemic stroke Quality of care Medicine (General) R5-920 Marzyeh Amini Sanne J. den Hartog Nikki van Leeuwen Frank Eijkenaar Laurien S. Kuhrij Lotte J. Stolze Paul J. Nederkoorn Hester F. Lingsma Adriaan C. G. M. van Es Ido R. van den Wijngaard Aad van der Lugt Diederik W. J. Dippel Bob Roozenbeek on behalf of the PERFEQTOS Investigators Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
description	Abstract Background Although the provision of performance feedback to healthcare professionals based on data from quality registries is common practice in many fields of medicine, observational studies of its effect on the quality of care have shown mixed results. The objective of this study is to evaluate the effect of performance feedback on the quality of care for acute ischemic stroke. Methods PERFEQTOS is a stepped wedge cluster randomized trial in 13 hospitals in the Netherlands providing endovascular thrombectomy for ischemic stroke. The primary outcome is the hospital’s door-to-groin time. The study starts with a 6-month period in which none of the hospitals receives the performance feedback intervention. Subsequently, every 6 months, three or four hospitals are randomized to cross over from the control to the intervention conditions, until all hospitals receive the feedback intervention. The feedback intervention consists of a dashboard with quarterly reports on patient characteristics, structure, process, and outcome indicators related to patients with ischemic stroke treated with endovascular thrombectomy. Hospitals can compare their present performance with their own performance in the past and with other hospitals. The performance feedback is provided to local quality improvement teams in each hospital, who define their own targets on specific indicators and develop performance improvement plans. The impact of the performance feedback and improvement plans will be evaluated by comparing the primary outcome before and after the intervention. Discussion This study will provide evidence on the effectiveness of performance feedback to healthcare providers. The results will be actively disseminated through peer-reviewed journals, conference presentations, and various stakeholder engagement activities. Trial registration Netherlands Trial Register NL9090 . Registered on December 3, 2020
format	article
author	Marzyeh Amini Sanne J. den Hartog Nikki van Leeuwen Frank Eijkenaar Laurien S. Kuhrij Lotte J. Stolze Paul J. Nederkoorn Hester F. Lingsma Adriaan C. G. M. van Es Ido R. van den Wijngaard Aad van der Lugt Diederik W. J. Dippel Bob Roozenbeek on behalf of the PERFEQTOS Investigators
author_facet	Marzyeh Amini Sanne J. den Hartog Nikki van Leeuwen Frank Eijkenaar Laurien S. Kuhrij Lotte J. Stolze Paul J. Nederkoorn Hester F. Lingsma Adriaan C. G. M. van Es Ido R. van den Wijngaard Aad van der Lugt Diederik W. J. Dippel Bob Roozenbeek on behalf of the PERFEQTOS Investigators
author_sort	Marzyeh Amini
title	Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
title_short	Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
title_full	Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
title_fullStr	Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
title_full_unstemmed	Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial
title_sort	performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (perfeqtos): protocol of a stepped wedge cluster randomized trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/12fd2822e0384f89b1618e0e683aa7b5
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Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial

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