Anesthesia Core Quality Metrics Consensus Delphi Study

Anesthesia Clinical Trial

Official title:

Development of a Standardized Set of Core Metrics to Assess the Quality of Anesthesia, Perioperative Care, and Acute Pain Management in Canada: Scoping Review and Multidisciplinary Consensus Delphi Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05386082
• Other study ID #: H22-00519
• Status: Completed
• Start date: September 26, 2022
• Est. completion date: November 1, 2023

Study information

• Verified date: February 2024
• Source: University of British Columbia
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To develop a ranked list of up to 20 metrics, which can be used to evaluate the quality of anesthesia, perioperative care, and acute pain management for adult inpatient non-cardiac surgical patients for use in quality improvement and quality assurance, research, and continuing medical education in the Canadian care context.

Description:

Background: Improving anesthesiology care and perioperative outcomes is a growing field encompassing quality improvement and quality assurance, research, and continuing medical education. Multiple consensus initiatives have standardized perioperative endpoints. However, no standard set of metrics exist to evaluate the quality of Canadian anesthesiology care delivery.

Objective: Develop a ranked list of up to 20 metrics, which can be used to evaluate the quality of anesthesia, perioperative care, and acute pain management for adult inpatient non-cardiac surgical patients for use in quality improvement and quality assurance, research, and continuing medical education in the Canadian care context.

Methods: First, the steering committee will conduct a scoping review of the literature to identify candidate metrics, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) and Joanna Briggs Institute methodology for scoping reviews. Metrics will include patient-reported outcome and patient-reported experience measures, quality and safety indicators, process metrics, and Canadian Anesthesiologists' Society recommended practice standards. The search strategy will include English-language articles published or in use within the past seven years (2015/Jan-2022/March) in 1) MEDLINE, Embase, CINAHL, Web of Science, and Cochrane Database of Systematic Reviews, 2) grey literature, including guidelines, and 3) existing evaluation metrics used by Canadian departments for quality assurance and improvement. Screening and data extraction will be performed by two independent reviewers using Covidence.

Next, following approval from the Research Ethics Board and with written informed consent from participants, a multidisciplinary panel of anesthesiologists, people with lived surgical experience (patients, caregivers), surgeons, nurses, internal medicine and family physicians, hospital administrators, and researchers will iteratively review the list of candidate metrics using a modified Delphi process. Independent voting, using surveys over three rounds, will be used to identify the most important metrics to define the quality of anesthesia, perioperative care, and acute pain management. Additional cycles may be performed if required.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: November 1, 2023
• Est. primary completion date: November 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient/family participants must have undergone a surgical experience within the past three years, and have the capacity to provide informed consent.

• All other participants must be actively practising in Canada in the disciplines they represent.

Exclusion Criteria:

• Participants with self-declared conflicts of interest with this project.

Related Conditions & MeSH terms

• Anesthesia
• Consensus Development

Intervention

Other:
• Modified Delphi process
The study involves a brief demographics survey and Delphi process, i.e. three rounds of information and surveys, in which participants will be asked to score/rank potential metrics.

Locations

Country	Name	City	State
Canada	Memorial University of Newfoundland	Saint John's	Newfoundland and Labrador
Canada	BC Children's Hospital	Vancouver	British Columbia
Canada	St. Paul's Hospital	Vancouver	British Columbia

Sponsors (1)

Lead Sponsor	Collaborator
University of British Columbia

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ranked list of anesthesia, perioperative care, and acute pain management quality metrics	A ranked set of national consensus metrics for evaluating the quality of anesthesia, perioperative care, and acute pain management for adult noncardiac surgical patients that can be used for quality improvement and quality assurance, research, and continuing medical education in the Canadian care context. Metrics where >70% participants voted "definitely priority" will be marked in the publication as the core metric set.	late 2022

External Links

•   Scoping review registration