Improving Escalation of Care: Development and Validation of the Quality of Information Transfer Tool

Annals of Surgery
Maximilian JohnstonAra Darzi

Abstract

To develop and provide validity and feasibility evidence for the QUality of Information Transfer (QUIT) tool. Prompt escalation of care in the setting of patient deterioration can prevent further harm. Escalation and information transfer skills are not currently measured in surgery. This study comprised 3 phases: the development (phase 1), validation (phase 2), and feasibility analysis (phase 3) of the QUIT tool. Phase 1 involved identification of core skills needed for successful escalation of care through literature review and 33 semistructured interviews with stakeholders. Phase 2 involved the generation of validity evidence for the tool using a simulated setting. Thirty surgeons assessed a deteriorating postoperative patient in a simulated ward and escalated their care to a senior colleague. The face and content validity were assessed using a survey. Construct and concurrent validity of the tool were determined by comparing performance scores using the QUIT tool with those measured using the Situation-Background-Assessment-Recommendation (SBAR) tool. Phase 3 was conducted using direct observation of escalation scenarios on surgical wards in 2 hospitals. A 7-category assessment tool was developed from phase 1 consisting of 2...Continue Reading

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Citations

Jan 24, 2017·The British Journal of Surgery·L T TengbergUNKNOWN AHA study group
Dec 30, 2016·The Journal of Surgical Research·N Mark BagnallLord Ara Darzi
Oct 27, 2017·World Journal of Surgery·Kunal ShettyThanos Athanasiou
Sep 22, 2021·BMC Medical Education·Ayesha YounasRaheela Yasmin

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Software Mentioned

Ovid
QUIT
SBAR
QUality of Information Transfer ( QUIT )
SPSS Statistics

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