TY - JOUR
T1 - Moving towards a core measures set for patient safety in perioperative care
T2 - an e-Delphi consensus study
AU - Dinis-Teixeira, J. P.
AU - Nunes, Ana Beatriz
AU - Leite, Andreia
AU - Schäfer, Willemijn L.A.
AU - Valli, Claudia
AU - Martínez-Nicolas, Ismael
AU - Seyfulayeva, Ayshe
AU - Carvalho, Pedro Casaca
AU - Rodríguez, Anna
AU - Arnal-Velasco, Daniel
AU - Leon, Irene
AU - Orrego, Carola
AU - Sousa, Paulo
N1 - Funding Information:
The work underlying this manuscript is encompassed in the European project SAFEST (Improving quality and patient SAFEty in surgical care through STandardisation and harmonisation of perioperative care in Europe). This project receives funding from the European Union\u2019s Horizon Europe research and innovation programme under grant agreement No 101057825. Link: https://cordis.europa.eu/project/ id/101057825 The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors would like to commend the SAFEST consortium members for their contribution: Daniel Arnal-Velasco, Joaquim Baneres, Ashish Bartakke, Hiske Calsbeek, Genis Carrasco, Pedro Casaca-Carvalho, Edoardo De Robertis, Yvette Emond, Neus Fabregas, Javier Garc\u00EDa-Silva, Pascal Garel, Oliver Groene, Anita Heideveld-Chevalking, Mari Kangasniemi, Janne Kommusaar, Kaja Kristensen, Andreia Leite, Irene Leon, Ismael Mart\u00EDnez-Nicol\u00E1s, David Marx, Marie Nabbe, Ana Beatriz Nunes, Carola Orrego, Kaja Polluste, Janne P\u00FChvel, Eva Romero-Garcia, Yolanda Sanduende-Otero, Willemijn Sch\u00E4fer, Caroline Schlinkert, Ayshe Seyfulayeva, Victor Soria-Aledo, Paulo Sousa, Joel Starkopf, Rosa Sunol, Helena Vall, Claudia Valli, Nina van der Schoot, Lilian Van Tuyl, Frantisek Vlcek, Marieke Voshaar, Cordula Wagner, Sophie Wang, Adam \u017Daludek, and Sandro Zamarian. The authors would also like to acknowledge the SAFEST Scientific Advisory Group members for contributing to this study: Aamer Ahmed, Fragkiskos Angelis, Catarina Baptista, Metaxia Bareka, Kateryna Bielka, Mercedes Bilbao, Federico Bilotta, Elvira Bisbe, Dialina Brilhante, Pedro Carrascal, Pedro Delgado, Zsuzsanna Farkas-Pall, Loredana Gigli, Helen Haskell, Arvid Steinar Haugen, Jan Hofland, Beverley Hunt, Ib Jammer, Janek Kapper, Natasa Kovac, Susana Lorenzo, Rui Malheiro, Xose Manuel Meijome, Jannicke Mellin-Olsen, Margaret Murphy, Maria Ntalouka, Marta Dora Ornelas, Margarita Ovsepyan, Maria Papadakaki, Danica Rotar Pavlic, Julien Picard, Marek Pietruszka, Benedikt Preckel, Finn Radktke, Jos\u00E9 Manuel Rodr\u00EDguez, Narimantas Evaldas Samalavicius, Pedro Vieira dos Santos, Ed Schoemaker, Kawaldip Sehmi, Henri\u00EBtte Smid-Nanninga, Joel Starkopf, John Tansley, Francesco Venneri, Matthias Weigl, and Argyro Zoumprouli.
Publisher Copyright:
Copyright: © 2024 Dinis-Teixeira et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2024/10
Y1 - 2024/10
N2 - A Core Measures Set (CMS) is an agreed standardized group of measures that should be assessed and reported in research for a specific condition or clinical area. This study undertook the development of a CMS for Patient Safety through a two-round, web-based Delphi consensus approach, in the context of the “Improving quality and patient SAFEty in surgical care through STandardisation and harmonization of perioperative care in Europe” (SAFEST) project—a collaborative, patient-centered and evidence-based European Union-funded project that aims to generate action-oriented evidence in perioperative care. We developed an Initial List of Measures via an umbrella review following the deployment of an e-Delphi method with an inclusive panel of experts to prioritize measures towards a consensualized Final List of Measures. All measures were rigorously assessed for both importance and feasibility. After the two rounds of the e-Delphi consensus method we observed 13 preoperative measures (40.6% of the initial number), 24 intraoperative measures (66.7%), 25 postoperative measures (20.3%) and 23 mixed period measures (41.1%) met consensus criteria for both importance and feasibility. Higher scores were detected in importance ratings compared to feasibility across all groups of measures. Importantly, numeric averages regarding pain-related measures differed in the assessment of patients when compared to that of Healthcare Professionals (HCPs). This work not only informs future SAFEST iterations but also sets a precedent for research into valid, patient-centered, and action-oriented perioperative safety measures.
AB - A Core Measures Set (CMS) is an agreed standardized group of measures that should be assessed and reported in research for a specific condition or clinical area. This study undertook the development of a CMS for Patient Safety through a two-round, web-based Delphi consensus approach, in the context of the “Improving quality and patient SAFEty in surgical care through STandardisation and harmonization of perioperative care in Europe” (SAFEST) project—a collaborative, patient-centered and evidence-based European Union-funded project that aims to generate action-oriented evidence in perioperative care. We developed an Initial List of Measures via an umbrella review following the deployment of an e-Delphi method with an inclusive panel of experts to prioritize measures towards a consensualized Final List of Measures. All measures were rigorously assessed for both importance and feasibility. After the two rounds of the e-Delphi consensus method we observed 13 preoperative measures (40.6% of the initial number), 24 intraoperative measures (66.7%), 25 postoperative measures (20.3%) and 23 mixed period measures (41.1%) met consensus criteria for both importance and feasibility. Higher scores were detected in importance ratings compared to feasibility across all groups of measures. Importantly, numeric averages regarding pain-related measures differed in the assessment of patients when compared to that of Healthcare Professionals (HCPs). This work not only informs future SAFEST iterations but also sets a precedent for research into valid, patient-centered, and action-oriented perioperative safety measures.
UR - http://www.scopus.com/inward/record.url?scp=85207387642&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0311896
DO - 10.1371/journal.pone.0311896
M3 - Article
C2 - 39441853
AN - SCOPUS:85207387642
SN - 1932-6203
VL - 19
JO - PLoS ONE
JF - PLoS ONE
IS - 10
M1 - e0311896
ER -
