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Projeto de investigação
Improving quality and patient SAFEty in surgical care through STandardisation and harmonisation of perioperative care in Europe
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Moving towards a core measures set for patient safety in perioperative care: An e-Delphi consensus study
Publication . Dinis-Teixeira, J.P.; Nunes, Ana Beatriz; Leite, Andreia; Schäfer, Willemijn L.A.; Valli, Claudia; Martínez-Nicolas, Ismael; Seyfulayeva, Ayshe; Carvalho, Pedro Casaca; Rodríguez, Anna; Arnal-Velasco, Daniel; Leon, Irene; Orrego, Carola; Sousa, Paulo; on behalf of the SAFEST Consortium and the SAFEST Scientific Advisory Group
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.
Core Measure Set for Patient Safety in Perioperative Care: A Clinical Practice-Oriented Consensus Study
Publication . Nunes, Ana Beatriz; Teixeira, José Pedro; Leite, Andreia; Schäfer, Willemijn; Valli, Claudia; Martínez-Nicolas, Ismael; Paixão, Margarida; Seyfulayeva, Ayshe; Abelenda, Daniel Treviño; Rodríguez, Anna; Carvalho, Pedro Casaca; Heideveld-Chevalking, Anita; Emond, Yvette; Põlluste, Kaja; Calsbeek, Hiske; Arnal-Velasco, Daniel; Žaludek, Adam; Garel, Pascal; Wagner, Cordula; Groene, Oliver; Orrego, Carola; Sousa, Paulo; SAFEST Scientific Advisory Group; SAFEST Scientific Executive Group; SAFEST Consortium
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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European Commission
Programa de financiamento
HORIZON Research and Innovation Actions
Número da atribuição
101057825