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FAQs

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General

      Q. Recruitment - Where do you see patients being recruited?

A.

We would encourage you to consider your local circumstances.

We envisage that patients would be informed of the study when they visit surgical or pre-operative assessment clinic, and then recruited to the study when they are admitted to the hospital for surgery.

      Q. Recruitment - What types of surgery are included?

A.

A full list of surgical procedures is included here (LINK)

      Q. Recruitment - Must patients be across specialities or could they alter weekly?

A.

We will work with you to understand your surgical caseload and develop a sampling strategy which is feasible locally.

      Q. Recruitment - Will follow up be done from a central point or will sites be responsible for this?

A.

Patients may elect to receive follow-up questionnaires (at 6 and 12 months after the date of surgery) by email or telephone calls. Emails will be sent by the central research team; telephone calls will be made by local teams using an agreed script.

      Q. Recruitment - For how long after discharge will patients be followed up and by whom?

A.

6 and 12 month follow up questionnaire as above. In addition, we will track patient survival using Hospital Episode Statistics and linkage to the Office of National Statistics’ mortality tracking system.

      Q. Data entry/follow-up - How is data being collected?

A.

Clinical information will be directly entered onto electronic Case Report Forms within the PQIP webtool. Pre- and post-operative patient questionnaires will be completed on paper CRFs and then entered onto the webtool by the local research team.

      Q. Data entry/follow-up - How will data be reported back?

A.

Real-time feedback of key metrics will be available on the PQIP dashboard

In addition we will send quarterly summaries of your data to the surgery, anaesthesia, management and improvement leads.

      Q. Data entry/follow-up - What is the approximate time requirement for data entry for one patient?

A.

The most time efficient (and accurate) way of entering data will be to do this prospectively as the patient transits through the hospital.

The person taking consent should immediately open a case report form on the webtool.

Data can then be entered for each patient by any member of your hospital team who has a login. Most pre- and intra-op data can be entered by the person taking consent or the anaesthesia and surgery team during/immediately after surgery.

Patients will be required to complete questionnaires before surgery and one days 1 and 3 after.

Clinicians/research teams will need to enter data on the day of surgery, in the recovery ward, and then on day 7 postop (if the patient is still in hospital) and on the day of hospital discharge.

      Q. Data entry - SOP

A. We have provided a Standard Operating Procedures (SOP) document which should answer most data entry questions. You can access the SOP on the "Study Documents" page of the website.

      Q. Adding new webtool users

A. On the top right hand side, there is an “Administration” button hover over this.
Move your mouse down to hover over “Users”.
Move your mouse to the right and click on “Users”.





 On the left-hand side of the page is the “Add new” button.



 
Enter a user name, which will be used to login, e.g email address. 
Enter the full name of the account holder.
Enter the email address of the account holder.
Enter the desired permissions with the tick boxes and the drop down menu of the sites.
Click insert.



From here the user can access their account via the reset password form

      Q. Recruitment - What if I recruit a patient for an ineligible procedure?

A. If you have mistakenly recruited a patient to the study for an ineligible procedure you will need to contact the PQIP Helpdesk to request that the record is removed from the web tool.

      Q. Data entry/follow up - How do I record that a patient has passed away?

A. If a patient passes away while they are admitted for surgery, this can be recorded in section 7 of the CRF on the web tool. However, if a patient passes away after they have been discharged from hospital, you should leave the CRF as it is and record it in the 6 and/or 12 month questionnaires for the patient on the web tool, using the drop down box on the first page of each questionnaire. This will prevent the web tool from sending any questionnaire follow up reminders for the patient.

      Q. Data entry/follow-up - What if the patient does not undergo the procedure they were recruited for?

A. If the patient was recruited for an eligible procedure but this changed to an ineligible procedure before the patient reached theatre, the patient should be withdrawn from the study. This can be recorded in section 7 of the CRF in the web tool. 

If the patient was recruited for an eligible procedure that changed to an ineligible procedure after the patient reached theatre, the patient should remain in the study and all follow-up data collected as normal.

      Q. Is this study adopted onto the NIHR portfolio?

A.

Yes – the portfolio (CPMS) ID number is 32256 and the lead Clinical Research Network is North Thames

      Q. Where can I find the protocol and other study documents for PQIP?

A.

In the “Study Documents” section of the “Resources” Tab on the website.

      Q. Where can I find the dataset and how will we enter PQIP data?

A.

The Case Report Form can be found in the Study Documents section of the website. 

Once your hospital has agreed participation (including Caldicott guardian and R&D department sign-off) we will provide you with user account logins to access the webtool.

The Standard Operating Procedures for the research team / clinician entered data is also in the “Study Documents” section of the website.The patient questionnaires can also be located here.

      Q. Is there funding available to support local data collections?

A.

There is no funding available to support local data collection, in line with other national audits/QI projects such as NELA. However, portfolio adoption should ensure that you can apply to your local clinical research network to access support for recruiting patients and data management locally.

Please contact your local Clinical Research Network office for information in the first instance.

      Q. How long is the lifespan of the study?

A.

The PQIP patient study will cease patient recruitment once 70,000 patients have participated. We currently estimate that this target will be reached by November or early December 2026.

 There will then be a 12-month follow up period to collect all of the remaining patient questionnaires and data.

      Q. Recruitment - How many patients will we need to recruit per week?

A.

The protocol states that ideally 5 patients per week should be recruited, using a random sampling strategy which is detailed in the protocol. When we do our site initiation meeting with the local team, we will talk this through.

      Q. Recruitment - Will patient consent be required?

A.

Yes, informed consent will be required and refusal or lack of capacity to consent is an exclusion criteria for a patient.

      Q. Recruitment - How will patients be selected?

A.

The general principle for our recruitment sampling strategy is that in week 1, the first 5 patients undergoing included procedures from Monday morning will be identified from theatre schedules and approached for consent.

If any of these patients refuses consent, consecutive patients will be approached until 5 have been recruited. We will use an 8-day rolling sampling cycle, so that in week 2, patients will start to be recruited from the Tuesday morning, the Wednesday morning of week three and so on.

      Q. Is this study subject to the National Opt-Out?

A. Data entered into PQIP is not subject to the National Opt-Out. Furthermore, PQIP is not covered in section 251.

      Q. Recruitment - Would emergency patients or unscheduled patients be recruited?

A.

Only patients for elective, eligible surgeries should be approached.

      Q. Data entry/follow-up - Who will have access to the data?

A.

Local teams will be able to access their own data entered into the webtool, as downloadable Excel csv files.

Automated run-charts will also be produced by the web-tool in real time, for selected key metrics, and compared against national data.

Only the central PQIP research team will have access to the full dataset (pseudonymised).

      Q. Can patients be recruited into the study more than once (if they have a second elective procedure)?

A.

No  - a patient can only be registered on the PQIP database once.

      Q. Data entry/follow-up - In what time frame should I collect the 6/12 month follow up questionnaire data?

A.

For the 6 and 12-month questionnaire follow-up telephone calls, we advise that the data should be collected from the patient within 30 days (+/-) of the due date.

Telephone follow-up guide scripts are available for download from the Study Documents page.

      Q. Data entry/follow up - Can I still input 6/12 month questionnaire data even if a record is locked?

A.

Patient records should be locked as soon as all sections (1-7) of the clinical data are complete and display as green in the status bar.

The record being locked will not prevent you from entering the data at the 6/12 month stage as these questionnaires operate under a separate record-locking system. Once the 6/12 month questionnaire data is complete, each questionnaire will need to be locked individually to submit the data to the central PQIP team.

Please contact us if you have any problems accessing patient records for any reason and we will be happy to help!

      Q. Adding new web tool users - permission levels

A. When a new user account is created for someone to use the webtool, there are three different permission levels available:

Site administrators - have full access to the web tool with the ability to view site data and reports, input and export patient data, and unlock any previously locked patient records in cases where the data needs to be amended. Site administrators are also able to set up log-ins for colleagues in their hospital to add capacity to their local team as and when needed.

Site users - are able to view site data and reports, as well as input and export patient data. They are not able to unlock records or add new users.

Site readers - are able to view site data and reports only.

We recommend local teams have one or two site administrators, with the rest being site users or site readers. This limits the exposure of people to client and study data as essential only.

      Q. Recruitment - Which procedures are not eligible for PQIP?

A. The full list of eligible procedures can be located on the Study Documents page of this website. Please do not hesitate to be in touch with us if you feel that a procedure may be eligible but doesn't seem to be listed here.