Evaluating the implementation of a digital coordination centre in an Australian hospital setting: a mixed method study protocol.

IF 4.4 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2025-02-06 DOI:10.1136/bmjhci-2024-101300
Sam Freeman, Colin Malone, Wynona Black, Daniel Capurro, Wendy W Chapman, Timothy N Fazio, Jana Gazarek, Meredith J Layton, Kayley Lyons, Laura Pumo, Samantha Plumb, Brad Astbury
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Abstract

Introduction: This protocol outlines a mixed methods study evaluating a new Digital Coordination Centre (DCC) at the Royal Melbourne Hospital (RMH), Melbourne, Australia. While coordination centres show potential for impact, evidence on effective implementation in the Australian context remains scarce. This study aims to address this gap.

Methods and analysis: The evaluation involves a two-stage approach: a process evaluation to clarify DCC design and identify implementation factors, and an initial outcome evaluation to assess short and medium term outcomes. A developmental approach will support continuous improvement, and implementation science theories applied to unpack change processes. Data sources will include interviews, project documentation and observations, with qualitative and quantitative analyses targeting metrics like emergency department boarding and length of stay.

Ethics and dissemination: This study has been approved by the RMH Human Research Ethics Committee (QA2023089). Findings will be shared through peer-reviewed publications and conference presentations.

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评估澳大利亚医院中数字协调中心的实施情况:一种混合方法研究方案。
简介:本协议概述了一项评估澳大利亚墨尔本皇家墨尔本医院(RMH)新数字协调中心(DCC)的混合方法研究。虽然协调中心显示出产生影响的潜力,但关于在澳大利亚范围内有效执行的证据仍然很少。本研究旨在解决这一差距。方法和分析:评估包括两个阶段的方法:过程评估,以澄清DCC设计和确定实施因素;初步结果评估,以评估短期和中期结果。一个发展的方法将支持持续的改进,并实现科学理论应用于解包变更过程。数据来源将包括访谈、项目文件和观察,以及针对急诊科入住和住院时间等指标的定性和定量分析。伦理与传播:本研究已获得RMH人类研究伦理委员会(QA2023089)批准。研究结果将通过同行评审的出版物和会议报告进行分享。
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CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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