Protocol for implementation of the € AusPROM' recommendations for elective surgery patients: A mixed-methods cohort study

Meg E. Morris, Natasha Brusco, Jeffrey Woods, Paul S. Myles, Anita Hodge, Cathy Jones, Damien Lloyd, Vincent Rovtar, Amanda Clifford, Victoria Atkinson

Research output: Contribution to journalArticleOtherpeer-review

3 Citations (Scopus)


Introduction Incorporating patient-reported outcome measures (PROMs) into usual care in hospitals can improve safety and quality. Gaps exist in electronic PROM (ePROM) implementation recommendations, including for elective surgery. The aims are to: (1) understand barriers and enablers to ePROM implementation in hospitals and develop Australian ePROM implementation recommendations (AusPROM); (2) test the feasibility and acceptability of the Quality of Recovery 15 item short-form (QoR-15) PROM for elective surgery patients applying the AusPROM and (3) establish if the QoR-15 PROM has concurrent validity with the EQ-5D-5L. Methods and analysis Phase I will identify staff barriers and facilitators for the implementation of the AusPROM recommendations using a Delphi technique. Phase II will determine QoR-15 acceptability for elective surgery patients across four pilot hospitals, using the AusPROM recommendations. For phase II, in addition to a consumer focus group, patients will complete brief acceptability surveys, incorporating the QoR-15, in the week prior to surgery, in the week following surgery and 4 weeks postsurgery. The primary endpoint will be 4 weeks postsurgery. Phase III will be the national implementation of the AusPROM (29 hospitals) and the concurrent validity of the QoR-15 and generic EQ-5D-5L. This protocol adopts the Guidelines for Inclusion of Patient-Reported Outcomes in Clinical Trials Protocols guidelines. Ethics and dissemination The results will be disseminated via public forums, conferences and peer-reviewed journals. Ethics approval: La Trobe University (HEC20479). Trial registration number ACTRN12621000298819 (Phase I and II) and ACTRN12621000969864 (Phase III)

Original languageEnglish
Article numbere049937
Number of pages7
JournalBMJ Open
Issue number9
Publication statusPublished - Sept 2021


  • audit
  • clinical governance
  • education & training (see medical education & training)
  • health and safety
  • quality in healthcare

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