Safety, quality & education

A standardized set of metrics to assess the quality of anesthesia, perioperative care, and acute pain management in Canada: a multidisciplinary modified Delphi study

Can J AnaesthPublished Modified Delphi consensus study

Authors' conclusion

A multidisciplinary panel developed a list of metrics for measuring the quality of anesthesiology care in Canada.

Study context

Population
Perioperative health care professionals, patients and caregivers in Canada56 completed all 3 rounds
Participants
80 professionals
Comparison
Health care professionals vs Patients vs Caregivers
  • Health care professionalsn = 49
  • Patientsn = 22
  • Caregiversn = 9
Outcome
Consensus list of metrics to measure quality of care in anesthesia, perioperative care and acute pain management
Methodological detailsmultidisciplinary panel, three rounds of iterative scoring and feedback
  • Multidisciplinary panel
  • Three rounds of iterative scoring and feedback

Recommendations

As reported in the abstract

Consensus metrics

Metrics with consensus

87

Priority core metrics

33

Further findings

Prioritisation of core metrics by subgroup (subgroup)

Health care professional and patient/caregiver subgroups differed in prioritising core metrics

Highest priority metrics

Most participants voted airway complications, no residual NMB, difficult airway documentation, complication or critical incident reporting, and complications from pain management highest priority

Feasibility of core metrics (health care professionals)

Most considered core metrics already measured, currently feasible, or likely feasible by 2025

Original publication

A standardized set of metrics to assess the quality of anesthesia, perioperative care, and acute pain management in Canada: a multidisciplinary modified Delphi study. Can J Anaesth. Published 20 May 2025. doi:10.1007/s12630-025-02951-1

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