Quality indicators for structure and process in peri‐operative care: a systematic review
Authors' conclusion
There is a need for standardisation in the development and naming of peri-operative quality indicators.
Study context
- Population
- Structure and process quality indicators for peri-operative care in adults (English-language studies and grey literature)657 studies and grey literature sources
- Outcome
- Available structure and process indicators and level of evidence supporting them
Methodological detailsincludes grey literature, update of a review published 10 years ago
- Includes grey literature
- Update of a review published 10 years ago
Pooled result
As reported in the abstract
Peri-operative structure and process quality indicators
- Total indicators
- 615
- Process indicators
- 324
- Structure indicators
- 248
- Indicators not clearly defined but relevant to process or structure
- 43
- New indicators identified
- 380
- Indicators supported by evidence
- 505 (82%)
- Indicators lacking clear evidence
- 110 (18%)
- Supported by evidence vs lacking clear evidence in previous review
- 47% and 53%
- Indicators evaluated for validity
- 71 (12%)
Further pooled results
Definitions and patient involvement
- Inconsistent definitions, with varying target thresholds for the same indicators
- Many indicators developed without involvement of patients or carers
Original publication
Quality indicators for structure and process in peri‐operative care: a systematic review. Anaesthesia. Published 11 March 2026. doi:10. 1111/ anae. 70185
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