University-business cooperation outcomes and impacts - A European perspective

University-Business Cooperation (UBC) is gaining importance within European HEIs, and increasing amounts of resources are invested in it, by the HEIs themselves and governments at different levels. In the face of rising scrutiny of their contribution to society, universities, and the governments funding them, are increasingly challenged to justify the organisational and societal outcomes and impacts of UBC. However, until now, methods for evaluating UBC have failed to capture its full value and complexity. This paper explores the topic and history of UBC outcome and impact evaluation, highlights some often overlooked factors that require further consideration, and suggests a preliminary framework for standardised evaluation of UBC outcomes and impacts.Todd Davey, Carolin Plewa and Victoria Galan Muro

The UBC ecosystem: putting together a comprehensive framework for university-business cooperation

The potential for a functional ‘triple helix’ to contribute to economic development is being increasingly accepted and embraced, particularly the bilateral relationship between higher education institutions (HEIs) and business. However, university-business cooperation (UBC) is still a fragmented and indistinct field of research, and the understanding of UBC remains inadequate since most research is undertaken around specific elements, rather than as an encompassing, overarching and interconnected system. This paper aims fills this gap in the literature by putting the pieces together to create an integrated and comprehensive conceptual UBC framework for HEIs, the UBC Ecosystem. The framework illustrates the components present in the UBC environment for HEIs, such as inputs, activities, outcomes, outputs, impacts, supporting mechanisms, circumstances and context, specifying a wide range of sub-elements for each of them. In doing so, this paper makes a strong theoretical contribution with the creation of a conceptual framework, highlighting the more important elements and their interrelations as well as suggesting future research. Additionally, the paper makes a practical contribution, establishing a common UBC schema for HEI managers and policymakers to make strategic and operative decisions, and used as a base for evidence-based management and policy

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)