Key result
EU consensus establishes 76 core measures to standardize perioperative patient safety evaluation.
Why the study?
To develop a consensus-based EU-wide Core Measure Set, including patient-reported measures, for evaluating perioperative patient safety in routine adult care.
The study developed a consensus-based, EU-wide Core Measure Set comprising 76 structure, process, and outcome measures to standardize the evaluation of perioperative patient safety in routine adult care.
Enables consistent perioperative safety evaluation in routine care; extends research with an EU-wide consensus core measure set.
Objectives To develop a consensus-based EU-wide Core Measure Set (CMS), including patient-reported measures, for evaluating perioperative patient safety in routine adult care. Methods A four-phase approach was applied: 1) identification of candidate structure, process, and outcome measures through three literature reviews; 2) synthesis into an initial list via deduplication and merging; 3) consensus process using a two-round modified eDelphi technique, with subject-matter and lived-experienced experts rating the importance and feasibility of each measure (consensus: ≥75% rating 7–9, ≤15% rating 1–3), followed by an online Consensus Conference addressing measures highly valued by patients but lacking feasibility consensus; 4) refinement of the CMS for patient safety in perioperative care (CMS-PSPC). Results Out of 9,717 records identified, 340 studies were included, yielding 1,305 measures. After refinement, 247 measures were consolidated; 84 reached consensus, and ten more were added via the Consensus Conference. The final CMS-PSPC comprised 76 measures: 22 outcome, 18 process, and 36 structure measures. Conclusion The CMS-PSPC provides a standardised, patient-centred framework for evaluating, monitoring and benchmarking perioperative patient safety in routine clinical care, supporting EU-wide quality improvement efforts.
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Nunes et al. (2026) studied Adult patients undergoing routine perioperative care in Europe, evaluated for perioperative patient safety (n=56). Core Measure Set for Patient Safety in Perioperative Care (CMS-PSPC) was evaluated on Consensus on patient safety measures importance and feasibility for perioperative care to establish a Core Measure Set. The Core Measure Set for Patient Safety in Perioperative Care (CMS-PSPC) was developed, comprising 76 consensus-based measures including 22 outcome, 18 process, and 36 structure measures to standardize EU perioperative safety evaluation.
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