The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes

<p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p< Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Deneckere Svin [verfasserIn] Euwema Martin [verfasserIn] Lodewijckx Cathy [verfasserIn] Panella Massimiliano [verfasserIn] Sermeus Walter [verfasserIn] Vanhaecht Kris [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations

Übergeordnetes Werk:	In: Implementation Science - BMC, 2006, 7(2012), 1, p 47
Übergeordnetes Werk:	volume:7 ; year:2012 ; number:1, p 47

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1748-5908-7-47

Katalog-ID:	DOAJ026743027

Internformat


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spelling	10.1186/1748-5908-7-47 doi (DE-627)DOAJ026743027 (DE-599)DOAJ2a917e0ea63240dc89e14d03cbab56b9 DE-627 ger DE-627 rakwb eng R5-920 Deneckere Svin verfasserin aut The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p< Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations Medicine (General) Euwema Martin verfasserin aut Lodewijckx Cathy verfasserin aut Panella Massimiliano verfasserin aut Sermeus Walter verfasserin aut Vanhaecht Kris verfasserin aut In Implementation Science BMC, 2006 7(2012), 1, p 47 (DE-627)509006191 (DE-600)2225822-X 17485908 nnns volume:7 year:2012 number:1, p 47 https://doi.org/10.1186/1748-5908-7-47 kostenfrei https://doaj.org/article/2a917e0ea63240dc89e14d03cbab56b9 kostenfrei http://www.implementationscience.com/content/7/1/47 kostenfrei https://doaj.org/toc/1748-5908 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2012 1, p 47
allfields_unstemmed	10.1186/1748-5908-7-47 doi (DE-627)DOAJ026743027 (DE-599)DOAJ2a917e0ea63240dc89e14d03cbab56b9 DE-627 ger DE-627 rakwb eng R5-920 Deneckere Svin verfasserin aut The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p< Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations Medicine (General) Euwema Martin verfasserin aut Lodewijckx Cathy verfasserin aut Panella Massimiliano verfasserin aut Sermeus Walter verfasserin aut Vanhaecht Kris verfasserin aut In Implementation Science BMC, 2006 7(2012), 1, p 47 (DE-627)509006191 (DE-600)2225822-X 17485908 nnns volume:7 year:2012 number:1, p 47 https://doi.org/10.1186/1748-5908-7-47 kostenfrei https://doaj.org/article/2a917e0ea63240dc89e14d03cbab56b9 kostenfrei http://www.implementationscience.com/content/7/1/47 kostenfrei https://doaj.org/toc/1748-5908 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2012 1, p 47
allfieldsGer	10.1186/1748-5908-7-47 doi (DE-627)DOAJ026743027 (DE-599)DOAJ2a917e0ea63240dc89e14d03cbab56b9 DE-627 ger DE-627 rakwb eng R5-920 Deneckere Svin verfasserin aut The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p< Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations Medicine (General) Euwema Martin verfasserin aut Lodewijckx Cathy verfasserin aut Panella Massimiliano verfasserin aut Sermeus Walter verfasserin aut Vanhaecht Kris verfasserin aut In Implementation Science BMC, 2006 7(2012), 1, p 47 (DE-627)509006191 (DE-600)2225822-X 17485908 nnns volume:7 year:2012 number:1, p 47 https://doi.org/10.1186/1748-5908-7-47 kostenfrei https://doaj.org/article/2a917e0ea63240dc89e14d03cbab56b9 kostenfrei http://www.implementationscience.com/content/7/1/47 kostenfrei https://doaj.org/toc/1748-5908 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2012 1, p 47
allfieldsSound	10.1186/1748-5908-7-47 doi (DE-627)DOAJ026743027 (DE-599)DOAJ2a917e0ea63240dc89e14d03cbab56b9 DE-627 ger DE-627 rakwb eng R5-920 Deneckere Svin verfasserin aut The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p< Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations Medicine (General) Euwema Martin verfasserin aut Lodewijckx Cathy verfasserin aut Panella Massimiliano verfasserin aut Sermeus Walter verfasserin aut Vanhaecht Kris verfasserin aut In Implementation Science BMC, 2006 7(2012), 1, p 47 (DE-627)509006191 (DE-600)2225822-X 17485908 nnns volume:7 year:2012 number:1, p 47 https://doi.org/10.1186/1748-5908-7-47 kostenfrei https://doaj.org/article/2a917e0ea63240dc89e14d03cbab56b9 kostenfrei http://www.implementationscience.com/content/7/1/47 kostenfrei https://doaj.org/toc/1748-5908 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2012 1, p 47
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topic_title	R5-920 The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations
topic	misc R5-920 misc Study protocol misc Care pathways misc Interprofessional teamwork misc Cluster randomised controlled trial misc Process evaluations misc Medicine (General)
topic_unstemmed	misc R5-920 misc Study protocol misc Care pathways misc Interprofessional teamwork misc Cluster randomised controlled trial misc Process evaluations misc Medicine (General)
topic_browse	misc R5-920 misc Study protocol misc Care pathways misc Interprofessional teamwork misc Cluster randomised controlled trial misc Process evaluations misc Medicine (General)
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title	The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
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title_full	The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
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author_browse	Deneckere Svin Euwema Martin Lodewijckx Cathy Panella Massimiliano Sermeus Walter Vanhaecht Kris
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doi_str_mv	10.1186/1748-5908-7-47
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title_sort	european quality of care pathways (eqcp) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
callnumber	R5-920
title_auth	The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
abstract	<p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p< <p<Methods/design</p< <p<An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p< <p<Discussion</p< <p<Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p< <p<Trail registration</p< <p<NCT01435538</p<
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title_short	The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
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