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Clinical indicators for reporting the effectiveness of patient quality and safety-related interventions: A protocol of a systematic review and Delphi consensus process as part of the international Standardised Endpoints for Perioperative Medicine initiative (StEP)

Clinical indicators for reporting the effectiveness of patient quality and safety-related interventions: A protocol of a systematic review and Delphi consensus process as part of the international Standardised Endpoints for Perioperative Medicine initiative (StEP)
Clinical indicators for reporting the effectiveness of patient quality and safety-related interventions: A protocol of a systematic review and Delphi consensus process as part of the international Standardised Endpoints for Perioperative Medicine initiative (StEP)

Introduction: Clinical indicators are used to measure and quantify the safety and quality of patient care. They are also often used as endpoints in clinical trials. Definitions of clinical indicators in common use are extremely heterogeneous, limiting their applicability. As part of the international Standardised Endpoints in Perioperative Medicine initiative, this study will identify clinical indicators by systematically reviewing the anaesthesia and perioperative medicine literature, and will provide consensus, clinically useful definitions for those indicators using a Delphi process. Methods and analysis: An electronic database search will be conducted of Medline (PubMed/OVID), EMBASE and the Cochrane Library in order to meet this review's objectives that are: (1) To identify clinical indicators and their definitions used in randomised controlled trials that assess patient-related quality and safety interventions in perioperative medicine; (2) To select a shortlist of recommended indicators and definitions that are the most suitable for evaluation of quality and safety interventions following an expert-based consensus-gaining process (Delphi method) and (3) To provide a classification scale for each indicator related to its clarity of definition, validity (strength), reliability, feasibility (ease of use) and frequency of use. This systematic review protocol is reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidance. Ethics and dissemination: Ethical approval is not required for this systematic review and Delphi process. The results of this study will be disseminated to the anaesthesia and perioperative medicine clinical and academic community through national and international presentations and through publication in a peer reviewed journal.

clinical indicators, outcomes: outcome measures, perioperative medicine
2044-6055
Bampoe, Sohail
edf2e763-1a6a-474b-9534-6d2c982735ed
Cook, Tim
8556d701-a533-4fa3-b790-53fa44149ffc
Fleisher, Lee
483150ea-e652-4d85-ad9a-4f990e6b0538
Grocott, Michael P.W.
1e87b741-513e-4a22-be13-0f7bb344e8c2
Neuman, Mark
75c401b4-8513-4171-9ebc-060440593696
Story, David
bfca9f56-911d-4806-bcd8-19e05a1bb506
Myles, Paul
3c704c43-b054-4e46-9dd0-c383c295b686
Haller, Guy
5cff5053-2017-4960-a6c5-e582a623ec64
Bampoe, Sohail
edf2e763-1a6a-474b-9534-6d2c982735ed
Cook, Tim
8556d701-a533-4fa3-b790-53fa44149ffc
Fleisher, Lee
483150ea-e652-4d85-ad9a-4f990e6b0538
Grocott, Michael P.W.
1e87b741-513e-4a22-be13-0f7bb344e8c2
Neuman, Mark
75c401b4-8513-4171-9ebc-060440593696
Story, David
bfca9f56-911d-4806-bcd8-19e05a1bb506
Myles, Paul
3c704c43-b054-4e46-9dd0-c383c295b686
Haller, Guy
5cff5053-2017-4960-a6c5-e582a623ec64

Bampoe, Sohail, Cook, Tim, Fleisher, Lee, Grocott, Michael P.W., Neuman, Mark, Story, David, Myles, Paul and Haller, Guy (2018) Clinical indicators for reporting the effectiveness of patient quality and safety-related interventions: A protocol of a systematic review and Delphi consensus process as part of the international Standardised Endpoints for Perioperative Medicine initiative (StEP). BMJ Open, 8 (11). (doi:10.1136/bmjopen-2018-023427).

Record type: Article

Abstract

Introduction: Clinical indicators are used to measure and quantify the safety and quality of patient care. They are also often used as endpoints in clinical trials. Definitions of clinical indicators in common use are extremely heterogeneous, limiting their applicability. As part of the international Standardised Endpoints in Perioperative Medicine initiative, this study will identify clinical indicators by systematically reviewing the anaesthesia and perioperative medicine literature, and will provide consensus, clinically useful definitions for those indicators using a Delphi process. Methods and analysis: An electronic database search will be conducted of Medline (PubMed/OVID), EMBASE and the Cochrane Library in order to meet this review's objectives that are: (1) To identify clinical indicators and their definitions used in randomised controlled trials that assess patient-related quality and safety interventions in perioperative medicine; (2) To select a shortlist of recommended indicators and definitions that are the most suitable for evaluation of quality and safety interventions following an expert-based consensus-gaining process (Delphi method) and (3) To provide a classification scale for each indicator related to its clarity of definition, validity (strength), reliability, feasibility (ease of use) and frequency of use. This systematic review protocol is reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidance. Ethics and dissemination: Ethical approval is not required for this systematic review and Delphi process. The results of this study will be disseminated to the anaesthesia and perioperative medicine clinical and academic community through national and international presentations and through publication in a peer reviewed journal.

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More information

Accepted/In Press date: 25 September 2018
e-pub ahead of print date: 2 December 2018
Keywords: clinical indicators, outcomes: outcome measures, perioperative medicine

Identifiers

Local EPrints ID: 427005
URI: https://eprints.soton.ac.uk/id/eprint/427005
ISSN: 2044-6055
PURE UUID: 9d47f70f-2208-469e-8bea-e0e819f43875

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Date deposited: 20 Dec 2018 17:30
Last modified: 13 Mar 2019 17:42

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Contributors

Author: Sohail Bampoe
Author: Tim Cook
Author: Lee Fleisher
Author: Mark Neuman
Author: David Story
Author: Paul Myles
Author: Guy Haller

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