Between 8 to 12% of patients admitted to hospitals in the European Union experience adverse events. Among in-hospital adverse events, surgical-related adverse effects are one of the most common, with several studies showing that most surgical errors occur outside the operating room, before and after surgery. There is a need to standardise a minimum set of outcomes to improve the quality of monitoring and evaluation of patient safety practices in perioperative care, including patient-relevant data.
In the context of SAFEST, we aim to develop a Core Outcome Set (COS) for patient safety in perioperative care, following a multimethod approach based on COS-STAD recommendations: 1) An initial list of outcomes (ILO) will be developed by conducting an umbrella review of outcomes and outcome measurement instruments on patient safety in perioperative care in surgical adult patients, complemented by outcomes identified in a systematic review of Clinical Practice Guidelines and a systematic review of successful interventions directed at reducing adverse events in surgical care; 2) the ILO will be prioritised, by relevant stakeholders, in a two-round eDelphi process, incorporating additional outcomes identified by participants in round one of the eDelphi into round two; 3) a final list of outcomes will be defined in a consensus conference, where the relevant stakeholders, including patients, will be invited to discuss the results from the eDelphi using a modified nominal group technique; 4) the COS for patient safety in perioperative care will be finalised by the researchers and reported according to COS-STAR guidance.
This COS will contribute to improving the monitoring and evaluation of patient safety practices in perioperative care, highlighting the importance of patient safety data in improving the quality of care and healthcare decision-making.
Ana Beatriz Nunes, NOVA National School of Public Health, NOVA University Lisbon, Lisbon, Portugal.
Paulo Sousa, NOVA National School of Public Health, Public Health Research Centre, CISP, NOVA University Lisbon, Lisbon, Portugal. NOVA National School of Public Health, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal.
Andreia Leite, Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal. NOVA National School of Public Health, Public Health Research Centre, CISP, NOVA University Lisbon, Lisbon, Portugal. NOVA National School of Public Health, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal.
José Pedro Teixeira, NOVA National School of Public Health, NOVA University Lisbon, Lisbon, Portugal.
Margarida Paixão, NOVA National School of Public Health, NOVA University Lisbon, Lisbon, Portugal.
Carola Orrego, Avedis Donabedian Research Institute, Barcelona, Spain.
Claudia Valli, Avedis Donabedian Research Institute, Barcelona, Spain.
Willemijn L.A. Schäfer, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Lilian Huibertina Davida van Tuyl, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Cordula Wagner, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Daniel Arnal-Velasco, Anaesthesia and Reanimation Unit, Hospital Universitario Fundacion Alcorcon. Sistema Español de Notificacion en Seguridad en Anestesia y Reanimacion (SENSAR), Spain
Ismael Martinez-Nicolas, Sistema Español de Notificacion en Seguridad en Anestesia y Reanimacion (SENSAR), Spain
Disease Category: Public health
Disease Name: Perioperative medicine
Age Range: 18 - 120
Sex: Either
Nature of Intervention: Surgery
- Clinical experts
- Conference participants
- Consumers (caregivers)
- Consumers (patients)
- Governmental agencies
- Guideline developers
- Methodologists
- Patient/ support group representatives
- Policy makers
- Researchers
- Private sector representatives
- Service providers
- Service users
- Regulatory agency representatives
- COS for practice
- Consensus conference
- Delphi process
- Literature review
- Nominal group technique (NGT)
We aim to develop a Core Outcome Set (COS) for patient safety in perioperative care, following a multimethod approach based on COS-STAD recommendations: 1) An initial list of outcomes (ILO) will be developed by conducting an umbrella review of outcomes and outcome measurement instruments on patient safety in perioperative care in surgical adult patients, complemented by outcomes identified in a systematic review of Clinical Practice Guidelines and a systematic review of successful interventions directed at reducing adverse events in surgical care; 2) the ILO will be prioritised, by relevant stakeholders, in a two-round eDelphi process, incorporating additional outcomes identified by participants in round one of the eDelphi into round two; 3) a final list of outcomes will be defined in a consensus conference, where the relevant stakeholders, including patients, will be invited to discuss the results from the eDelphi using a modified nominal group technique; 4) the COS for patient safety in perioperative care will be finalised by the researchers and reported according to COS-STAR guidance.