Mebrahtu, Teumzghi F, McInerney, Ciarán D, Benn, Jonathan et al. (7 more authors) (2023) Effect of a hospital command centre on patient safety:an interrupted time series study. BMJ Health and Care Informatics. e100653. ISSN 2632-1009
Abstract
BACKGROUND: Command centres have been piloted in some hospitals across the developed world in the last few years. Their impact on patient safety, however, has not been systematically studied. Hence, we aimed to investigate this. METHODS: This is a retrospective population-based cohort study. Participants were patients who visited Bradford Royal Infirmary Hospital and Calderdale & Huddersfield hospitals between 1 January 2018 and 31 August 2021. A five-phase, interrupted time series, linear regression analysis was used. RESULTS: After introduction of a Command Centre, while mortality and readmissions marginally improved, there was no statistically significant impact on postoperative sepsis. In the intervention hospital, when compared with the preintervention period, mortality decreased by 1.4% (95% CI 0.8% to 1.9%), 1.5% (95% CI 0.9% to 2.1%), 1.3% (95% CI 0.7% to 1.8%) and 2.5% (95% CI 1.7% to 3.4%) during successive phases of the command centre programme, including roll-in and activation of the technology and preparatory quality improvement work. However, in the control site, compared with the baseline, the weekly mortality also decreased by 2.0% (95% CI 0.9 to 3.1), 2.3% (95% CI 1.1 to 3.5), 1.3% (95% CI 0.2 to 2.4), 3.1% (95% CI 1.4 to 4.8) for the respective intervention phases. No impact on any of the indicators was observed when only the software technology part of the Command Centre was considered. CONCLUSION: Implementation of a hospital Command Centre may have a marginal positive impact on patient safety when implemented as part of a broader hospital-wide improvement programme including colocation of operations and clinical leads in a central location. However, improvement in patient safety indicators was also observed for a comparable period in the control site. Further evaluative research into the impact of hospital command centres on a broader range of patient safety and other outcomes is warranted.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Author(s) (or their employer(s)) 2023. |
Keywords: | Humans,Interrupted Time Series Analysis,Retrospective Studies,Cohort Studies,Hospitals,Patients |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Reviews and Dissemination (York) The University of York > Faculty of Sciences (York) > Computer Science (York) |
Depositing User: | Pure (York) |
Date Deposited: | 01 Feb 2023 09:10 |
Last Modified: | 16 Oct 2024 19:01 |
Published Version: | https://doi.org/10.1136/bmjhci-2022-100653 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1136/bmjhci-2022-100653 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:195924 |
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Description: Effect of a hospital command centre on patient safety: an interrupted time series study
Licence: CC-BY 2.5