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; Universidad Autónoma de Barcelona Barcelona Spain

Avedis Donabedian Research Institute Barcelona Spain; Universidad Autónoma de Barcelona Barcelona Spain; Network for Research on Chronicity Primary Care and Health Promotion Barcelona Spain

Department of Anaesthesia and Intensive Care University Hospital Bonn Bonn Germany

European Hospital and Healthcare Federation Brussels Belgium

Netherlands Institute for Health Services Research Utrecht The Netherlands

Northwestern Quality Improvement Research and Education in Surgery Department of Surgery Northwestern University Chicago IL USA

NOVA National School of Public Health Public Health Research Center Comprehensive Health Research Center CHRC NOVA University Lisbon Lisbon Portugal

OptiMedis AG Hamburg Germany; Department of Management and Entrepreneurship Faculty of Management Economics and Society University of Witten Herdecke Germany

Radboud University Medical Center Nijmegen The Netherlands

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital 12 de Octubre Madrid Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital Clinic Barcelona Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital Universitario de Pontevedra Pontevedra Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital Universitario Fundación Alcorcon Alcorcon Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital Univesitari Policlinic La Fe Valencia Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Anaesthesia and Reanimation Hospital Valle de Los Pedroches Pozoblanco Spain

Spanish Anaesthesia and Reanimation Incident Reporting System Alcorcon Spain; Department of Surgery Hospital Universitario Morales Meseguer Murcia Spain

Spojená Akreditační Komise Prague Czech Republic; Charles University 3rd faculty of Medicine Department of Public Health Prague Czech Republic

University of Tartu Tartu Estonia

Citace poskytuje Crossref.org

Sustaining perioperative patient safety improvement: the relevance of patient safety policies and contextual factors in European healthcare systems