Related Experiment Video
Updated: Mar 12, 2026
06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
9.5K
Quality indicators for structure and process in peri-operative care: a systematic review
Sarah Kelly1, Paige Cunnington1, Harry Dunn1
1The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK.
Anaesthesia
|March 11, 2026
Summary
This systematic review identified numerous peri-operative quality indicators, finding that while evidence support has increased, many lack validation and patient involvement. Standardizing indicator development is crucial for improving surgical care quality.
Area of Science:
- Healthcare Quality Improvement
- Surgical Care Standards
- Health Services Research
Background:
- Quality indicators are vital for healthcare benchmarking and improvement.
- Existing peri-operative care indicators have variable relevance and evidence bases.
- This review updates a decade-old assessment of these indicators.
Purpose of the Study:
- To identify available structure and process indicators for peri-operative care.
- To assess the evidence supporting these indicators.
- To inform the development of a core set of peri-operative quality indicators.
Main Methods:
- Systematic search of major medical databases (MEDLINE, Embase, CINAHL, Cochrane).
- Inclusion of English-language adult studies and relevant grey literature.
- Analysis of identified structure and process indicators and their supporting evidence.
Main Results:
- Identified 615 indicators (324 process, 248 structure), with 380 new additions.
- Evidence supported 82% of indicators, a significant increase from 47% in a prior review.
- Only 12% of indicators were validated, with noted inconsistencies in definitions and lack of patient involvement.
Conclusions:
- Standardization of peri-operative quality indicator development and naming is needed.
- Improved credibility and utility require clear reporting, validation, and patient engagement.
- Rationalizing the large number of overlapping indicators is essential for enhancing usability and driving meaningful improvements in surgical care.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
4.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.6K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
495
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
495
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
410
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
410
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
933
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
933
01:11Guidelines for Writing Outcome
4.2K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
4.2K
01:18Guidelines and Strategies for Safe Computer Charting
3.0K
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
3.0K