Design
The PREPARATION study is designed as a stepped-wedge cluster randomized trial and will be executed in 14 hospitals without a currently established preoperative MDT meeting for high-risk noncardiac surgical patients [The design pattern matrix (Fig. Diagram of the stepped-wedge cluster randomized trial design. Participating hospitals are randomized to represented rows A to N and are divided in 7 blocks of 2 hospitals. T1–T8: time periods of 3 months. All patients will have a follow-up time of 12 monthsIndividual patient pathway during participation in the PREPARATION study. ASA-PS, American Society of Anesthesiology Physical Status; MDT, multidisciplinary team [