Autor(es):
Arnal-Velasco, Daniel ; Martinez-Nicolas, Ismael ; Fabregas, Neus ; Bartakke, Ashish ; Calsbeek, Hiske ; Emond, Yvette ; Groene, Oliver ; León, Irene ; Žaludek, Adam ; Nunes, Ana B. ; Orrego, Carola ; Põlluste, Kaja ; Rodriguez, Anna ; Sanduende, Yolanda ; Schäfer, Willemijn ; Silva-García, Javier ; Soria, Victor ; Sousa, Paulo ; Valli, Claudia ; Voshaar, Marieke ; Wittmann, Maria ; Garel, Pascal ; Romero, Eva ; SAFEST Consortium, SAFEST Executive group, SAFEST Advisory group
Data: 2025
Identificador Persistente: http://hdl.handle.net/10362/185273
Origem: Repositório Institucional da UNL
Assunto(s): evidence-based practice; medical errors patient safety; perioperative care; practice guidelines; quality; risk management; safety; Anesthesiology and Pain Medicine; SDG 3 - Good Health and Well-being
Descrição
Funding Information: This study is part of the \u201CSAFEty in surgical care through the STandardisation and harmonisation of perioperative care in Europe\u201D (SAFEST) project, supported by the European Union - Horizon Europe Framework Programme (101057825). The funding source had no role in the collection, analysis, or interpretation of data, in the writing of the manuscript, nor in the decision to submit the manuscript for publication. Publisher Copyright: © 2025 The Author(s)
Background: Surgery-related adverse events are among the most common adverse events in-hospital. However, no comprehensive, multidisciplinary perioperative guidelines exist at the European level. The aim of this study is to describe the process and results in achieving European multidisciplinary consensus on perioperative patient safety recommendations. Methods: This multimethod study included: (1) a systematic review of guidelines; (2) selection and synthesis of recommendations; and (3) a two-round modified Delphi technique including a 2-day face-to-face consensus conference. We recruited a panel of two expert groups balanced in terms of gender, geographical origin, and professional background, with meaningful participation from patient representatives. Consensus was defined as at least 70% of the panel rating a recommendation 7–9 on a 9-point Likert scale for importance to patient safety and feasibility of implementation. Results: The systematic review included 267 guidelines, from which 4666 patient safety recommendations were identified and extracted. After four synthesis rounds, 99 recommendations were presented for the Delphi survey, detailing their strength of recommendation, level of evidence, and methodological quality of the cited guidelines. An expert group, composed of 66 multidisciplinary experts from 19 European countries, participated with a response rate of 80.3%. After the two Delphi rounds and the consensus conference, the panel agreed on a final set of 101 recommended perioperative patient safety practices. Conclusions: A set of 101 comprehensive, evidence-based, patient-centred perioperative patient safety practices was developed through a European consensus process to improve the quality of care in healthcare facilities across Europe and beyond.
