Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

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.  

Work Package 1 

Work Package 2 

Work Package 3 

Work Package 4 

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.

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.

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 

Contact us

 

'Funded by' National Institute for Health and Care Research (NIHR) logo

Overview of the RESPOND Programme

Professor Peter McCulloch provides an overview of the RESPOND Programme.

LinkedIn posts from RESPOND Programme