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Developing a Core Measurement Set for perioperative care safety in Europe within the SAFEST project : An international Delphi consensus study
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ABSTRACT - A Core Measure Set (CMS) is an agreed standardized group of measures that should be
measured and reported in future research or practice within a clinical area or a specific
condition. 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 harmonisation 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 Indicators via an umbrella review following
the deployment of an e-Delphi method with an inclusive panel of experts to prioritize indicators
towards a consensualized Final List of Indicators (FLI). All indicators were assessed for both
importance and feasibility. After the two rounds of the e-Delphi consensus method we
observed 13 preoperative indicators (~40.6% of the initial number), 24 intraoperative
indicators (~66.7%), 25 postoperative indicators (~20.3%) and 23 mixed period indicators
(~41.1%) met consensus criteria for both importance and feasibility. Higher scores were
detected in importance ratings compared to feasibility across all groups of indicators.
Importantly, numeric averages regarding pain-related indicators differed in the assessment of
patients when compared to that of 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 indicators.
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Patient safety core measurement set Delphi study perioperative care public health