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Prioritisation of quality indicators for elective perioperative care: a Delphi consensus

BACKGROUND: A systematic review of the peer-reviewed and grey literature previously identified over 1200 perioperative structure and process quality indicators. We undertook a Delphi consensus process with the aim of creating a concise list of indicators that experts deemed most important for assess...

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Autores principales: Gilhooly, D., Chazapis, M., Moonesinghe, S. R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063823/
https://www.ncbi.nlm.nih.gov/pubmed/32175078
http://dx.doi.org/10.1186/s13741-020-0138-7
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author Gilhooly, D.
Chazapis, M.
Moonesinghe, S. R.
author_facet Gilhooly, D.
Chazapis, M.
Moonesinghe, S. R.
author_sort Gilhooly, D.
collection PubMed
description BACKGROUND: A systematic review of the peer-reviewed and grey literature previously identified over 1200 perioperative structure and process quality indicators. We undertook a Delphi consensus process with the aim of creating a concise list of indicators that experts deemed most important for assessing quality in perioperative care METHODS: A basic Delphi consensus was completed using an online survey which was distributed to surgeons, anaesthetists, nurses, physicians and lay representatives. Participants were asked to prioritise the indicators in order of importance (high, medium or low) to be included for collection in a national perioperative quality improvement programme. RESULTS: One hundred and thirty-seven indicators were included in the first iteration of the Delphi consensus (91 structure and 48 process indicators). Sixty-three experts agreed to participate and the consensus was completed in five rounds. Ninety-five indicators were agreed as high priority: 65 structural and 30 process indicators. CONCLUSION: The Delphi consensus process was able to reduce the number of recommended indicators to only a modest extent. Further work to evaluate the practicalities of routinely collecting such a comprehensive list of quality indicators is now required.
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spelling pubmed-70638232020-03-13 Prioritisation of quality indicators for elective perioperative care: a Delphi consensus Gilhooly, D. Chazapis, M. Moonesinghe, S. R. Perioper Med (Lond) Consensus BACKGROUND: A systematic review of the peer-reviewed and grey literature previously identified over 1200 perioperative structure and process quality indicators. We undertook a Delphi consensus process with the aim of creating a concise list of indicators that experts deemed most important for assessing quality in perioperative care METHODS: A basic Delphi consensus was completed using an online survey which was distributed to surgeons, anaesthetists, nurses, physicians and lay representatives. Participants were asked to prioritise the indicators in order of importance (high, medium or low) to be included for collection in a national perioperative quality improvement programme. RESULTS: One hundred and thirty-seven indicators were included in the first iteration of the Delphi consensus (91 structure and 48 process indicators). Sixty-three experts agreed to participate and the consensus was completed in five rounds. Ninety-five indicators were agreed as high priority: 65 structural and 30 process indicators. CONCLUSION: The Delphi consensus process was able to reduce the number of recommended indicators to only a modest extent. Further work to evaluate the practicalities of routinely collecting such a comprehensive list of quality indicators is now required. BioMed Central 2020-03-10 /pmc/articles/PMC7063823/ /pubmed/32175078 http://dx.doi.org/10.1186/s13741-020-0138-7 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Consensus
Gilhooly, D.
Chazapis, M.
Moonesinghe, S. R.
Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title_full Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title_fullStr Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title_full_unstemmed Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title_short Prioritisation of quality indicators for elective perioperative care: a Delphi consensus
title_sort prioritisation of quality indicators for elective perioperative care: a delphi consensus
topic Consensus
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063823/
https://www.ncbi.nlm.nih.gov/pubmed/32175078
http://dx.doi.org/10.1186/s13741-020-0138-7
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