The RESPOND Programme is a five-year programme which aims to develop and test the extent to which human factors interventions improve speed and quality of response to deteriorating emergency surgery patients. We are funded by the NIHR (Programme Grant NIHR200868).
Work Packages
There are four work packages, or phases, in the programme, each with a specific aim.
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Work Package 1 |
Work Package 2 |
Work Package 3 |
Work Package 4 |
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Learn what works and what doesn't through qualitative research with staff and patients. |
Develop Human Factors interventions based on results from Work Package 1. |
Pilot the interventions in a small trial and assess how they do or do not work. |
Test the interventions in a national randomised trial using step-wedge cluster design. |
Study Design
A step-wedge cluster randomised trial is an alternative to traditional randomised controlled trials where individual patients are given a 50/50 chance of receiving an intervention or not.
We are grouping hospitals into ‘steps’ of four in a random order. This means that they will start at different times, with a step of four hospitals starting first, followed by the next, and so on. Assigning the steps randomly helps to avoid a bias towards a particular result.
In each hospital we’ll collect patient data before the intervention starts and again afterwards to see if there is an improvement in overall patient outcomes. We will also look at factors like the financial impact of the interventions, as well as qualitative outcomes such as how staff and patients feel about the interventions and what they think about the process of adopting them at their hospital.
The image above depicts a timeline of the step-wedge trial where each hospital will collect pre and post data and will receive the intervention but at staggered times throughout work package 4.
For further information about the RESPOND Programme, please read on:
PROBLEM AND APPROACH
THEORETICAL BACKGROUND
For RESPOND Leaders
For RESPOND Doctors
For RESPOND Nurses
Data Collection
Outcomes and Testimonials
RESPOND Conference
Contact us
Notice Board
- Work package 4 started 1 August 2023.
- We are still looking for sites to join the RESPOND quality audit. Please email us if interested: respond@nds.ox.ac.uk
- Consider joining the RESPOND Surgical Trainee Collaborative if you are a junior doctor eager to prevent surgical patient deterioration! Find out more information and to sign up.
RESPOND sites
Buckinghamshire Health NHS Trust
PI: Mr Rame Sunthareswaran
West Middlesex Hospital, Chelsea and Westminster NHS Foundation Trust
PI: Mr Nikhil Pawa
Oxford University Hospitals NHS Foundation Trust
PI: Mr Giles Bond-Smith
Interested in becoming a site on RESPOND? Contact respond@nds.ox.ac.uk