Surgical Handover Core Outcome Measures (SH-CORE): development of a core outcome set for trials in surgical handover


Poor quality handover between doctors leads to patient harm with 20% of handover-related issues with patient care resulting in adverse events. Surgical patients are particularly at risk. There is a need for a synthesised body of high-quality literature to enable meta-analysis and to help guide the process of surgical handover. There is currently no consensus on which outcomes are suitable for measuring the effectiveness of surgical handover interventions. A search of the COMET database was performed and no relevant or similar studies were identified.


This study aims to describe a core set of outcomes to guide the design of future surgical handover trials.


To develop a core set of outcomes to guide the design of future surgical handover trials.


Jessica Ryan (principal investigator; 1, 2), Anastasija Simiceva (1), Walter Eppich (supervisor; 1), Dara O Kavanagh (supervisor; 3, 4), Aisling M Hogan (5), Deborah A McNamara (primary supervisor; 6, 7, 8)


1 RCSI SIM Centre for Simulation Education and Research, Dublin
2 RCSI StAR MD programme, Dublin
3 RCSI Department of Surgical Affairs, Dublin
4 Department of Surgery, Tallaght University Hospital, Dublin
5 Galway University Hospital, Galway
6 Office of the President, RCSI, Dublin
7 National Clinical Programme in Surgery, RCSI, Dublin
8 Department of Surgery, Beaumont Hospital, Dublin

Further Study Information

Current Stage: Ongoing
Date: July 2022 - February 2025
Funding source(s): This work was supported by the Bon Secours Hospital in Dublin, Ireland, via the Royal College of Surgeons in Ireland (RCSI) StAR MD Programme (grant agreement 22253A01) Further funding may be confirmed during the course of the study.

Health Area

Disease Category: Other

Disease Name: Clinical handover

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention: Management of care

Stakeholders Involved

- Clinical experts
- Governmental agencies
- Patient/ support group representatives
- Policy makers
- Researchers
- Service providers
- Service users

Study Type

- COS for clinical trials or clinical research


- Consensus meeting
- Delphi process
- Literature review
- Nominal group technique (NGT)
- Survey
- Systematic review

This study will be developed according to the COMET initiative guidance for core outcome set development and will be conducted and reported in accordance with the Core Outcome Set-Standards for Development (COS-STAD) and Reporting (COS-STAR) recommendations. We will undertake an international, mixed methods, multi-stage, iterative consensus process to identify a core outcome set. A systematic review will first be carried out to generate an initial list of outcomes. This list will be further defined and elaborated upon through consultation with stakeholder groups via a Delphi process. A meeting between stakeholder groups will then be facilitated to achieve final consensus.

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