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Perioperative patient safety recommendations

2024-12-01Recensão Acesso aberto
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dc.contributor.authorSAFEST Consortium
dc.contributor.authorMartinez-Nicolas, Ismael
dc.contributor.authorArnal-Velasco, Daniel
dc.contributor.authorRomero-García, Eva
dc.contributor.authorFabregas, Neus
dc.contributor.authorOtero, Yolanda Sanduende
dc.contributor.authorLeon, Irene
dc.contributor.authorBartakke, Ashish A.
dc.contributor.authorSilva-Garcia, Javier
dc.contributor.authorRodriguez, Anna
dc.contributor.authorValli, Claudia
dc.contributor.authorZamarian, Sandro
dc.contributor.authorZaludek, Adam
dc.contributor.authorMeneses-Echavez, Jose
dc.contributor.authorLoaiza-Betancur, Andrés F.
dc.contributor.authorSousa, Paulo
dc.contributor.authorOrrego, Carola
dc.contributor.authorSoria-Aledo, Victor
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblOxford University Press
dc.date.accessioned2025-01-02T21:25:29Z
dc.date.available2025-01-02T21:25:29Z
dc.date.issued2024-12-01
dc.descriptionFunding Information: This work was funded by the European Union Horizon Europe Framework Programme under grant agreement No. 101057825. No other funding sources were received for this study. The authors wish to thank Eulalia Grifol Clar (Head of the Medical Library, Hospital Universitario Fundaci\u00F3n Alcorc\u00F3n) and Noelia \u00C1lvarez D\u00EDaz (Head of the Medical Library, Hospital Universitario Ram\u00F3n y Cajal) for conducting a literature search and Azahara Rodr\u00EDguez-Luna for the initial development of the protocol of this study. Funding Information: This work was funded by the European Union Horizon Europe Framework Programme under grant agreement No. 101057825. No other funding sources were received for this study. Acknowledgements Publisher Copyright: © The Author(s) 2024.
dc.description.abstractBackground: Surgical-related incidents are a common cause of in-hospital adverse events. Surgical patient safety would benefit from evidence-based practices, but a comprehensive collection of patient safety recommendations is still lacking. This study aimed to compile and assess the perioperative patient safety recommendations for adults. Method: A systematic review of clinical practice guidelines was conducted using Medline, Embase, Cochrane, Virtual Health Library Regional Portal, and Trip Database from 2012 to 2022. Eligibility criteria followed a PICAR strategy for patient safety recommendations in the perioperative care continuum. Guidelines were appraised for quality, particularly focusing on the ‘rigour of development’ domain of the AGREE-II tool for those containing strong recommendations. Descriptive analyses were conducted, emphasizing guideline quality, recommendation strength, and the supporting level of evidence. Results: From the 267 guidelines, 4666 perioperative patient safety recommendations were extracted, of which 44.9% (2095) were strongly recommended. Of these, 322 had the highest level of evidence, but only 18 guidelines met high standards in the AGREE-II ‘rigour of development’ domain. A subset of 78 recommendations ranked the highest in the strength of recommendation, level of evidence, and rigour of development of their guidelines. A gap was found within pre-admission and post-discharge care recommendations. Discussion: This review highlights the noteworthy variability in the methodological quality of the guidelines, and a discordance between strength of recommendation and evidence level of the available perioperative patient safety recommendations. These findings provide valuable information for advising policy decisions and promoting best practices to enhance global surgical safety.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent607384
dc.identifier.doi10.1093/bjsopen/zrae143
dc.identifier.issn2474-9842
dc.identifier.otherPURE: 105546846
dc.identifier.otherPURE UUID: 4681e686-f24f-4d4f-ada0-ed04664649b2
dc.identifier.otherScopus: 85211996076
dc.identifier.otherPubMed: 39661325
dc.identifier.otherPubMedCentral: PMC11632830
dc.identifier.otherWOS: 001374270800001
dc.identifier.urihttp://hdl.handle.net/10362/176959
dc.identifier.urlhttps://www.scopus.com/pages/publications/85211996076
dc.language.isoeng
dc.peerreviewedyes
dc.subjectSurgery
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePerioperative patient safety recommendationsen
dc.title.subtitlesystematic review of clinical practice guidelinesen
dc.typereview
degois.publication.issue6
degois.publication.titleBJS Open
degois.publication.volume8
dspace.entity.typePublication
rcaap.rightsopenAccess

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