PDF(Pubmed)
Abstract：
BACKGROUND: Surgical handover is associated with a significant risk of care failures. Existing research displays methodological deficiencies and little consensus on the outcomes that should be used to evaluate interventions in this area. This paper reports a protocol to develop a core outcome set (COS) to support standardisation, comparability, and evidence synthesis in future studies of surgical handover between doctors.
METHODS: This study adheres to the Core Outcome Measures in Effectiveness Trials (COMET) initiative guidance for COS development, including the COS-Standards for Development (COS-STAD) and Reporting (COS-STAR) recommendations. It has been registered prospectively on the COMET database and will be led by an international steering group that includes surgical healthcare professionals, researchers, and patient and public partners. An initial list of reported outcomes was generated through a systematic review of interventions to improve surgical handover (PROSPERO: CRD42022363198). Findings of a qualitative evidence synthesis of patient and public perspectives on handover will augment this list, followed by a real-time Delphi survey involving all stakeholder groups. Each Delphi participant will then be invited to take part in at least one online consensus meeting to finalise the COS.
BACKGROUND: This study was approved by the Royal College of Surgeons in Ireland (RCSI) Research Ethics Committee (202309015, 7th November 2023). Results will be presented at surgical scientific meetings and submitted to a peer-reviewed journal. A plain English summary will be disseminated through national websites and social media. The authors aim to integrate the COS into the handover curriculum of the Irish national surgical training body and ensure it is shared internationally with other postgraduate surgical training programmes. Collaborators will be encouraged to share the findings with relevant national health service functions and national bodies.
CONCLUSIONS: This study will represent the first published COS for interventions to improve surgical handover, the first use of a real-time Delphi survey in a surgical context, and will support the generation of better-quality evidence to inform best practice.
BACKGROUND: Core Outcome Measures in Effectiveness Trials (COMET) initiative 2675. http://www.comet-initiative.org/Studies/Details/2675 .
METHODS: This study adheres to the Core Outcome Measures in Effectiveness Trials (COMET) initiative guidance for COS development, including the COS-Standards for Development (COS-STAD) and Reporting (COS-STAR) recommendations. It has been registered prospectively on the COMET database and will be led by an international steering group that includes surgical healthcare professionals, researchers, and patient and public partners. An initial list of reported outcomes was generated through a systematic review of interventions to improve surgical handover (PROSPERO: CRD42022363198). Findings of a qualitative evidence synthesis of patient and public perspectives on handover will augment this list, followed by a real-time Delphi survey involving all stakeholder groups. Each Delphi participant will then be invited to take part in at least one online consensus meeting to finalise the COS.
BACKGROUND: This study was approved by the Royal College of Surgeons in Ireland (RCSI) Research Ethics Committee (202309015, 7th November 2023). Results will be presented at surgical scientific meetings and submitted to a peer-reviewed journal. A plain English summary will be disseminated through national websites and social media. The authors aim to integrate the COS into the handover curriculum of the Irish national surgical training body and ensure it is shared internationally with other postgraduate surgical training programmes. Collaborators will be encouraged to share the findings with relevant national health service functions and national bodies.
CONCLUSIONS: This study will represent the first published COS for interventions to improve surgical handover, the first use of a real-time Delphi survey in a surgical context, and will support the generation of better-quality evidence to inform best practice.
BACKGROUND: Core Outcome Measures in Effectiveness Trials (COMET) initiative 2675. http://www.comet-initiative.org/Studies/Details/2675 .
摘要：
背景：手术移交与护理失败的重大风险相关。现有的研究显示出方法上的缺陷，并且在评估该领域干预措施的结果上几乎没有共识。本文报告了开发核心结果集(COS)以支持标准化的协议，可比性，以及未来医生之间手术交接研究的证据综合。
方法：本研究遵循COS开发有效性试验中的核心结果指标（COMET）倡议指南，包括COS-发展标准（COS-STAD）和报告（COS-STAR）建议。它已在COMET数据库中进行了前瞻性注册，并将由包括外科医疗保健专业人员在内的国际指导小组领导。研究人员,耐心和公共伙伴。通过对改善手术交接的干预措施进行系统评价，生成报告结果的初始列表(PROSPERO:CRD42022363198)。患者和公众对移交观点的定性证据综合结果将增加此列表，随后是涉及所有利益相关者团体的实时Delphi调查。然后，每位Delphi参与者将被邀请参加至少一次在线共识会议，以最终确定COS。
背景：这项研究得到了爱尔兰皇家外科医学院（RCSI）研究伦理委员会的批准（202309015，2023年11月7日）。结果将在外科科学会议上发表，并提交给同行评审的期刊。一个简单的英文摘要将通过国家网站和社交媒体传播。作者旨在将COS纳入爱尔兰国家外科培训机构的移交课程，并确保其与其他研究生外科培训计划在国际上共享。将鼓励合作者与相关的国家卫生服务职能和国家机构分享调查结果。
结论：这项研究将代表首次发表的COS干预措施，以改善手术交接，在外科背景下首次使用实时德尔菲调查，并将支持生成更高质量的证据，以告知最佳实践。
背景：有效性试验（COMET）倡议2675的核心结果指标。http://www.comet-initiative.org/Studies/Details/2675。
方法：本研究遵循COS开发有效性试验中的核心结果指标（COMET）倡议指南，包括COS-发展标准（COS-STAD）和报告（COS-STAR）建议。它已在COMET数据库中进行了前瞻性注册，并将由包括外科医疗保健专业人员在内的国际指导小组领导。研究人员,耐心和公共伙伴。通过对改善手术交接的干预措施进行系统评价，生成报告结果的初始列表(PROSPERO:CRD42022363198)。患者和公众对移交观点的定性证据综合结果将增加此列表，随后是涉及所有利益相关者团体的实时Delphi调查。然后，每位Delphi参与者将被邀请参加至少一次在线共识会议，以最终确定COS。
背景：这项研究得到了爱尔兰皇家外科医学院（RCSI）研究伦理委员会的批准（202309015，2023年11月7日）。结果将在外科科学会议上发表，并提交给同行评审的期刊。一个简单的英文摘要将通过国家网站和社交媒体传播。作者旨在将COS纳入爱尔兰国家外科培训机构的移交课程，并确保其与其他研究生外科培训计划在国际上共享。将鼓励合作者与相关的国家卫生服务职能和国家机构分享调查结果。
结论：这项研究将代表首次发表的COS干预措施，以改善手术交接，在外科背景下首次使用实时德尔菲调查，并将支持生成更高质量的证据，以告知最佳实践。
背景：有效性试验（COMET）倡议2675的核心结果指标。http://www.comet-initiative.org/Studies/Details/2675。
