A new Hospital-Wide system aims to cut unplanned return surgeries in orthopaedics
NCT ID NCT07744633
First seen Aug 04, 2026 · Last updated Aug 07, 2026 · Updated 3 times
Summary
This study tests a hospital-level closed-loop management system designed to improve how orthopaedic departments handle unplanned returns to the operating room. The system includes standardized definitions, non-punitive reporting, case review, and continuous quality improvement actions. Participating hospitals will implement the system, and researchers will measure reporting accuracy and management quality, as well as rates of unplanned returns and complications. The goal is to see if this organizational approach can enhance patient safety and surgical outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Closed-Loop Quality Improvement Programme for Unplanned Return to the Operating Room in Orthopaedics
- What this could lead to
- If effective, this system could reduce surgical complications and improve patient safety in orthopaedic departments across hospitals.
- What could go wrong
- This is a quality improvement study, not a clinical treatment trial, so it may not directly change patient outcomes. Success depends on hospital staff adherence and may not generalize to all settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 25 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A public secondary or tertiary general hospital or specialty hospital in China. * Has an independent orthopaedic ward and an established orthopaedic surgical team. * Has performed at least 2,000 orthopaedic surgical procedures per year during each of the previous three years. * Is willing to participate in the study and sign the study cooperation agreement. * The head of the orthopaedic department, or an authorized departmental representative, is willing to provide written informed consent on behalf of the participating department. * Has accessible hospital discharge records, surgical and anaesthesia information systems, and the information infrastructure required for data verification. * Is able to provide the required aggregated and de-identified study data and complete the scheduled follow-up assessments. Exclusion Criteria: * Is currently conducting a similar quality improvement programme that may affect the evaluation of the study intervention. * Is unable to complete the required follow-up assessments or data reporting. * Experiences or is expected to experience major institutional restructuring during the study period that may substantially affect implementation of the intervention. The unit of enrollment, intervention, and analysis is the participating hospital and its orthopaedic department. Individual patients are not recruited as research participants. Only aggregated and de-identified hospital-level data will be collected.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.