Key result
A two-round e-Delphi consensus method identified 13 preoperative, 24 intraoperative, 25 postoperative, and 23 mixed period measures meeting consensus criteria for importance and feasibility.
Why the study?
This study was conducted to develop a Core Measures Set for patient safety in perioperative care to standardize assessment and reporting.
This e-Delphi consensus study established a core measures set for patient safety in perioperative care, identifying key measures across preoperative, intraoperative, and postoperative periods.
May standardize perioperative safety reporting in research; leaves open prospective validation before clinical adoption.
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.
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Teixeira et al. (2024) studied Patient safety in perioperative care. e-Delphi consensus method was evaluated on Consensus criteria for importance and feasibility of measures. A two-round e-Delphi consensus method identified 13 preoperative, 24 intraoperative, 25 postoperative, and 23 mixed period measures meeting consensus criteria for importance and feasibility.
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