Nationwide Implementation of Standardized Structured Reporting (IMPROVING)

Radboud University Medical Center

Status: Unknown

Conditions: Standardized Structured Reporting

Treatments: Behavioral: Implementation tools

Study type: Observational

Funder types: Other

Identifiers

NCT03649126

KWF-8281

2018-4124 (Other Identifier)

Details and patient eligibility

About

The first objective is to explore factors that impede or facilitate implementation of SSR in pathology (and other disciplines) among the MDT members receiving SSRs. The second objective is to select, develop and evaluate (process and effect outcomes) implementation tools supporting optimal implementation of SSR in pathology. The third objective is to offer implementation tools to all pathology laboratories in the Netherlands and to share the SSR-kit for successful implementation with other medical disciplines

Full description

By implementing SSR in various disciplines, we contribute to improving communication, efficiency and quality of multidisciplinary team (MDT) meetings and facilitate optimal treatment decision making. Optimal discussion of each patient at MDT meetings can be achieved by a clear communication of all diagnostic results among MDT members. However, the adoption of innovations, such as SSR, is laborious, especially when the innovation requires changing daily habits. Offering implementation tools supports the adoption of innovations among medical professionals. Implementation tools are most effective when they are developed on the basis of factors that impede or facilitate the innovation. Besides the importance of investigating these factors for SSR among pathologists, we will also involve MDT members receiving pathology SSRs in our study. After all, because MDT members will greatly benefit from SSR, they could play a key role in stimulating the use of SSR among pathologists. Therefore, we will also explore which tools MDT members need to stimulate the diagnostic disciplines in using SSR. Subsequently, we will develop and evaluate implementation tools to support the use of SSR by pathologists. The kit for successful implementation of SSR will be offered to other medical disciplines like radiology, endoscopy, and surgery who face similar challenges with implementation of SSR. The SSR-kit consists of our multidisciplinary approach for the whole process of developing implementation tools for SSR, examples of tools for SSR, and other results of this project.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 68 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pathologists of urological, gynecological or gastro-intestinal cancers
• Other MDT-members of urological, gynecological or gastro-intestinal cancers (medical oncologists, radiologists, radiotherapists, urologists, gynecologists, intestinal surgeons, nuclear medicine physicians, nurse practitioners).
• Dutch
• Residents

Exclusion criteria

• Retirees

Trial design

50 participants in 6 patient groups

Dutch pathologists hospital I

Description:

Pathologists in hospital I using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools

Dutch pathologists hospital II

Description:

Pathologists in hospital II using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools

Dutch pathologists hospital III

Description:

Pathologists in hospital III using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools

Dutch pathologists hospital IV

Description:

Pathologists in hospital IV using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools

Dutch pathologists hospital V

Description:

Pathologists in hospital V using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools

Dutch pathologists hospital VI

Description:

Pathologists in hospital VI using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Treatment:

Behavioral: Implementation tools