Fitness for purpose study of the Field Assessment Conditioning Tool (FACT): a research protocol

Abstract

IntroductionAs part of a programme of research aiming to improve the outcomes of traumatically injured children, a multisource healthcare advocacy tool has been developed to allow trauma team members and hospital governance administrators to reflect and to act on complex trauma team-hospital systems interactions. We have termed this tool a Field Assessment Conditioning Tool (FACT). The FACT draws on quantitative data including clinical care points in addition to self-reflective qualitative data. The FACT is designed to provide feedback on this assessment data both horizontally across fellow potential team members and vertically to the hospital/organisation governance structure, enabling process gap identification and allowing an agenda of improvements to be realised. The aim of the study described in this paper is to explore the perceived fitness for purpose of the FACT to provide an opportunity for healthcare advocacy by healthcare professionals caring for traumatically injured children.Methods and analysisThe FACT will be implemented and studied in three district hospitals, each around a major trauma centre in the UK, USA and New Zealand. Using a qualitative approach with standardised semi-structured interviews and thematic analysis we will explore the following question: Is the FACT fit for purpose in terms of providing a framework to evaluate, reflect and act on the individual hospital's own performance (trauma team—hospital interactions) in terms of readiness to receive traumatically injured children?Ethics and disseminationEthics opinion was sought for each research host organisation participating and deemed not required. The results will be disseminated to participating sites, networks and published in high-impact journals.

Catalytic effect of multisource feedback for trauma team captains: a mixed-methods prospective study

“…An MSF tool for each team member was developed for this study (online supplemental table A1) based on a literature review of MSF in the healthcare setting (ie, MSF/PAR tool, trauma feedback surveys, FACT tool, resuscitation assessment tools) 5 19–21. It underwent an iterative design process with input from a group of healthcare professionals (a TTC, TTL, anaesthesiologist, RN) who were not directly involved with this study but did have trauma team experience.…”

A novel approach to explore Safety-I and Safety-II perspectives in in situ simulations—the structured what if functional resonance analysis methodology

“…Twenty standardised ISSs were performed in 10 UK emergency departments following an established protocol [22]. Each simulation was performed on a date and time agreed by the clinical directors of Emergency Medicine, Surgery, Anaesthesia and Nursing at each site.…”

0162 Development of a field assessment conditioning tool (FACT) – an exploration of the role of healthcare advocacy

“…1 We harnessed the strengths of simulation to develop a quality improvement project (SAFEQIP) aiming to improve anticipatory care, using role allocation through a multifaceted educational approach with the overarching goal to improve patient safety, staff education and team-working. Methodology planned In-situ Simulated inter-PRofessional Team (SPRinT) courses are embedded within PICU.…”

“…As simulation evolves there are growing numbers of multi-disciplinary exercises. 1 Recently, the use of in-situ simulation training has increased in popularity. This allows teams to undertake simulation exercises in their usual place of work, increasing the fidelity of the experience as a whole and ideally suited to multi-disciplinary team training.…”

“…Background We have designed an assessment instrument, to empower health care advocacy by trauma team members and managers. 1 The context of the assessment is the readiness of hospitals to receive traumatically injured children, as trauma is the leading cause of mortality in infants and children. 2 The instrument is to be used by the healthcare professionals that constitute or manage trauma teams, and highlights a series of trauma team hospital interactions and performances.…”