Key result
A Delphi consensus process among 63 experts identified 95 out of 137 perioperative quality indicators (65 structural and 30 process) as high priority for assessing quality in elective perioperative care.
Why the study?
Over 1200 perioperative quality indicators had been identified, motivating a Delphi consensus to create a concise list deemed most important for assessing care quality.
A Delphi consensus identified 95 high-priority structural and process quality indicators for elective perioperative care, though the list remains extensive for routine measurement.
Answers are grounded in this paper and cite their sources.
Prioritizes metrics for elective perioperative quality assessment; extends consensus frameworks while leaving implementation and validation open.
Background A systematic review of the peer-reviewed and grey literature previously identified over 1200 perioperative structure and process quality indicators. We undertook a Delphi consensus process with the aim of creating a concise list of indicators that experts deemed most important for assessing quality in perioperative care Methods A basic Delphi consensus was completed using an online survey which was distributed to surgeons, anaesthetists, nurses, physicians and lay representatives. Participants were asked to prioritise the indicators in order of importance (high, medium or low) to be included for collection in a national perioperative quality improvement programme. Results One hundred and thirty-seven indicators were included in the first iteration of the Delphi consensus (91 structure and 48 process indicators). Sixty-three experts agreed to participate and the consensus was completed in five rounds. Ninety-five indicators were agreed as high priority: 65 structural and 30 process indicators. Conclusion The Delphi consensus process was able to reduce the number of recommended indicators to only a modest extent. Further work to evaluate the practicalities of routinely collecting such a comprehensive list of quality indicators is now required.
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Gilhooly et al. (2020) studied Elective perioperative care (n=63). Delphi consensus process was evaluated on Number of quality indicators agreed as high priority. A Delphi consensus process among 63 experts identified 95 out of 137 perioperative quality indicators (65 structural and 30 process) as high priority for assessing quality in elective perioperative care.
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