'5 Rs to Rescue' A Cluster Trial With an Embedded Process Evaluation
'Failure to rescue' describes the preventable death of a patient following the absence of timely identification and treatment of a complication after surgery. The absence of systems contributes to the higher mortality post-surgery in Africa compared to high-income countries. To mitigate this, a complex quality improvem
| Condition(s) | Surgery, Failure to Rescue |
|---|---|
| Status | Recruiting |
| Study type | Observational |
| Summary | 'Failure to rescue' describes the preventable death of a patient following the absence of timely identification and treatment of a complication after surgery. The absence of systems contributes to the higher mortality post-surgery in Africa compared to high-income countries. To mitigate this, a complex quality improvement (QI) intervention has been designed focusing on improving five main areas of patient management following surgery termed as '5 Rs to Rescue'. The study will take place in 20 centers in 4 countries - Ethiopia, South Africa, Tanzania, and Uganda. This a multi-center, mixed methods, cluster trial with a baseline assessment to evaluate the efficacy of the QI intervention. To study is aimed to evaluate whether implementation of the '5 Rs to Rescue' quality improvement interven |
| Who can participate | Inclusion Criteria: * Patients aged 18 years and older undergoing any surgery, who receive postoperative care on a participating ward Exclusion Criteria: * Patients who opt out of trial participation. * Patients receiving end of life care. |
| Ages | 18 Years to 100 Years |
| Sex | All |
| Lead sponsor | University of Cape Town |
| Locations | Cape Town, Western Cape, South Africa |
| Start date | 2024-09-01 |
| NCT ID | NCT06997328 |
| Official listing | https://clinicaltrials.gov/study/NCT06997328 |