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Multidisciplinary, evidence-based, patient-centred perioperative patient safety recommendations: a European consensus study☆
D. Arnal-Velasco, I. Martinez-Nicolas, N. Fabregas, A. Bartakke, H. Calsbeek, Y. Emond, O. Groene, I. León, A. Žaludek, AB. Nunes, C. Orrego, K. Põlluste, A. Rodriguez, Y. Sanduende, W. Schäfer, J. Silva-García, V. Soria, P. Sousa, C. Valli, M....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu konsensuální prohlášení, časopisecké články, systematický přehled
- MeSH
- bezpečnost pacientů * normy MeSH
- delfská metoda MeSH
- konsensus MeSH
- lidé MeSH
- medicína založená na důkazech * metody MeSH
- péče orientovaná na pacienta * normy MeSH
- perioperační péče * normy metody MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- konsensuální prohlášení MeSH
- systematický přehled MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Surgery-related adverse events are among the most common adverse events in-hospital. However, no comprehensive, multidisciplinary perioperative guidelines exist at the European level. The aim of this study is to describe the process and results in achieving European multidisciplinary consensus on perioperative patient safety recommendations. METHODS: This multimethod study included: (1) a systematic review of guidelines; (2) selection and synthesis of recommendations; and (3) a two-round modified Delphi technique including a 2-day face-to-face consensus conference. We recruited a panel of two expert groups balanced in terms of gender, geographical origin, and professional background, with meaningful participation from patient representatives. Consensus was defined as at least 70% of the panel rating a recommendation 7-9 on a 9-point Likert scale for importance to patient safety and feasibility of implementation. RESULTS: The systematic review included 267 guidelines, from which 4666 patient safety recommendations were identified and extracted. After four synthesis rounds, 99 recommendations were presented for the Delphi survey, detailing their strength of recommendation, level of evidence, and methodological quality of the cited guidelines. An expert group, composed of 66 multidisciplinary experts from 19 European countries, participated with a response rate of 80.3%. After the two Delphi rounds and the consensus conference, the panel agreed on a final set of 101 recommended perioperative patient safety practices. CONCLUSIONS: A set of 101 comprehensive, evidence-based, patient-centred perioperative patient safety practices was developed through a European consensus process to improve the quality of care in healthcare facilities across Europe and beyond.
Avedis Donabedian Research Institute Barcelona Spain
Charles University 3rd faculty of Medicine Department of Public Health Prague Czech Republic
Department of Anaesthesia and Intensive Care University Hospital Bonn Bonn Germany
Department of Anaesthesia and Reanimation Hospital 12 de Octubre Madrid Spain
Department of Anaesthesia and Reanimation Hospital Clinic Barcelona Spain
Department of Anaesthesia and Reanimation Hospital Universitario de Pontevedra Pontevedra Spain
Department of Anaesthesia and Reanimation Hospital Universitario Fundación Alcorcon Alcorcon Spain
Department of Anaesthesia and Reanimation Hospital Univesitari Policlinic La Fe Valencia Spain
Department of Anaesthesia and Reanimation Hospital Valle de Los Pedroches Pozoblanco Spain
Department of Surgery Hospital Universitario Morales Meseguer Murcia Spain
European Hospital and Healthcare Federation Brussels Belgium
Netherlands Institute for Health Services Research Utrecht The Netherlands
Network for Research on Chronicity Primary Care and Health Promotion Barcelona Spain
Radboud University Medical Center Nijmegen The Netherlands
Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain
Spojená Akreditační Komise Prague Czech Republic
Citace poskytuje Crossref.org
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- $a BACKGROUND: Surgery-related adverse events are among the most common adverse events in-hospital. However, no comprehensive, multidisciplinary perioperative guidelines exist at the European level. The aim of this study is to describe the process and results in achieving European multidisciplinary consensus on perioperative patient safety recommendations. METHODS: This multimethod study included: (1) a systematic review of guidelines; (2) selection and synthesis of recommendations; and (3) a two-round modified Delphi technique including a 2-day face-to-face consensus conference. We recruited a panel of two expert groups balanced in terms of gender, geographical origin, and professional background, with meaningful participation from patient representatives. Consensus was defined as at least 70% of the panel rating a recommendation 7-9 on a 9-point Likert scale for importance to patient safety and feasibility of implementation. RESULTS: The systematic review included 267 guidelines, from which 4666 patient safety recommendations were identified and extracted. After four synthesis rounds, 99 recommendations were presented for the Delphi survey, detailing their strength of recommendation, level of evidence, and methodological quality of the cited guidelines. An expert group, composed of 66 multidisciplinary experts from 19 European countries, participated with a response rate of 80.3%. After the two Delphi rounds and the consensus conference, the panel agreed on a final set of 101 recommended perioperative patient safety practices. CONCLUSIONS: A set of 101 comprehensive, evidence-based, patient-centred perioperative patient safety practices was developed through a European consensus process to improve the quality of care in healthcare facilities across Europe and beyond.
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