Key result
Developing valid core quality indicators is essential for monitoring perioperative care.
Why the study?
No set of valid and feasible quality indicators is available as the gold standard for comprehensive routine monitoring of overall perioperative care quality, despite high rates of preventable perioperative morbidity and mortality.
A core set of valid and feasible quality indicators is essential for monitoring perioperative care quality, requiring a combination of evidence-based and feasible standard indicators along with patient perspectives.
Core perioperative quality indicators need prospective validation before adoption; leaves open optimal evidence-standard matching.
PURPOSE OF REVIEW: Routine monitoring of care quality is fundamental considering the high reported rates of preventable perioperative morbidity and mortality. However, no set of valid and feasible quality indicators is available as the gold standard for comprehensive routine monitoring of the overall quality of perioperative care. The purpose of this review is to describe underlying difficulties, to summarize current trends and initiatives and to outline the perspectives in support of suitable perioperative quality indicators. RECENT FINDINGS: Most perioperative quality indicators used in the clinical setting are based on low or no evidence. Evidence-based perioperative quality indicators validated for research purposes are not always applicable in routine care. Developing a core set of perioperative quality indicators for clinical practice may benefit from matching feasible routine indicators with evidence-based indicators validated for research, from evaluating additional new indicators, and from including patients' views. SUMMARY: A core set of valid and feasible quality indicators is essential for monitoring perioperative care quality. The development of such a set may benefit from matching evidence-based indicators with feasible standard indicators and from including patients' views.
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Johannes Wacker (2023) conducted a review in Perioperative care quality. Quality indicators was evaluated. Developing a core set of valid and feasible quality indicators is essential for monitoring perioperative care quality and may benefit from matching evidence-based indicators with standard indicators.
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