Protocol for a proof-of-concept study evaluating systematic quality improvement with Realtime event support (SQUIRES)

Introduction: Quality improvement (QI) in healthcare results better patient outcomes, system performance, and professional development. One target of QI initiatives the perioperative period is surgical site infections (SSI), for which several risk factors have been identified. Reliable administration indicated antibiotic prophylaxis a modifiable factor particular relevance. We hypothesize that novel telemedicine-augmented quality program will improve prophylaxis. Objectives: The objective this study to evaluate utility initiative on timely prophylaxis. The incidence SSI also be reported multiple services. Methods: This multi-center prospective before-and-after proof-of-concept study. Patients undergoing procedure across seven operating room facilities at four hospitals BJC Healthcare System included. Approximately 40,000 patients over an eight-month enrolled. This include baseline observational phase, education intervention phase employing real-time event detection with associated guidance from remote telemedicine center, subsequent phase. primary outcome on-time throughout trial. Other outcomes SSIs. Registration Information: trial registered clinicaltrials.gov, NCT04983329 (30th July 2021).