Safety, quality & education

Quality indicators for structure and process in peri‐operative care: a systematic review

AnaesthesiaPublished 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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