Perioperative patient safety recommendations
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Publication Date: | 2024 |
Other Authors: | , , , , , , , , , , , , , , , , |
Format: | Other |
Language: | eng |
Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
Download full: | http://hdl.handle.net/10362/176959 |
Summary: | 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. 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. |
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Perioperative patient safety recommendationssystematic review of clinical practice guidelinesSurgerySDG 3 - Good Health and Well-beingFunding 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.Background: 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.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNSAFEST ConsortiumMartinez-Nicolas, IsmaelArnal-Velasco, DanielRomero-García, EvaFabregas, NeusOtero, Yolanda SanduendeLeon, IreneBartakke, Ashish A.Silva-Garcia, JavierRodriguez, AnnaValli, ClaudiaZamarian, SandroZaludek, AdamMeneses-Echavez, JoseLoaiza-Betancur, Andrés F.Sousa, PauloOrrego, CarolaSoria-Aledo, Victor2025-01-02T21:25:29Z2024-12-012024-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttp://hdl.handle.net/10362/176959eng2474-9842PURE: 105546846https://doi.org/10.1093/bjsopen/zrae143info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-10T01:33:45Zoai:run.unl.pt:10362/176959Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:27:39.290391Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
dc.title.none.fl_str_mv |
Perioperative patient safety recommendations systematic review of clinical practice guidelines |
title |
Perioperative patient safety recommendations |
spellingShingle |
Perioperative patient safety recommendations SAFEST Consortium Surgery SDG 3 - Good Health and Well-being |
title_short |
Perioperative patient safety recommendations |
title_full |
Perioperative patient safety recommendations |
title_fullStr |
Perioperative patient safety recommendations |
title_full_unstemmed |
Perioperative patient safety recommendations |
title_sort |
Perioperative patient safety recommendations |
author |
SAFEST Consortium |
author_facet |
SAFEST Consortium Martinez-Nicolas, Ismael Arnal-Velasco, Daniel Romero-García, Eva Fabregas, Neus Otero, Yolanda Sanduende Leon, Irene Bartakke, Ashish A. Silva-Garcia, Javier Rodriguez, Anna Valli, Claudia Zamarian, Sandro Zaludek, Adam Meneses-Echavez, Jose Loaiza-Betancur, Andrés F. Sousa, Paulo Orrego, Carola Soria-Aledo, Victor |
author_role |
author |
author2 |
Martinez-Nicolas, Ismael Arnal-Velasco, Daniel Romero-García, Eva Fabregas, Neus Otero, Yolanda Sanduende Leon, Irene Bartakke, Ashish A. Silva-Garcia, Javier Rodriguez, Anna Valli, Claudia Zamarian, Sandro Zaludek, Adam Meneses-Echavez, Jose Loaiza-Betancur, Andrés F. Sousa, Paulo Orrego, Carola Soria-Aledo, Victor |
author2_role |
author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) Escola Nacional de Saúde Pública (ENSP) RUN |
dc.contributor.author.fl_str_mv |
SAFEST Consortium Martinez-Nicolas, Ismael Arnal-Velasco, Daniel Romero-García, Eva Fabregas, Neus Otero, Yolanda Sanduende Leon, Irene Bartakke, Ashish A. Silva-Garcia, Javier Rodriguez, Anna Valli, Claudia Zamarian, Sandro Zaludek, Adam Meneses-Echavez, Jose Loaiza-Betancur, Andrés F. Sousa, Paulo Orrego, Carola Soria-Aledo, Victor |
dc.subject.por.fl_str_mv |
Surgery SDG 3 - Good Health and Well-being |
topic |
Surgery SDG 3 - Good Health and Well-being |
description |
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. 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. |
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2024 |
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2024-12-01 2024-12-01T00:00:00Z 2025-01-02T21:25:29Z |
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info:eu-repo/semantics/publishedVersion |
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eng |
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2474-9842 PURE: 105546846 https://doi.org/10.1093/bjsopen/zrae143 |
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