Surgical Handover Core Outcome Measures (SH-CORE): a protocol for the development of a core outcome set for trials in surgical handover.
Consensus method
Core outcome measure
Core outcome set
Delphi survey
Handoff
Handover
Handover methodology
I-PASS
Information transfer
SBAR
Signoff
Signout
Surgical communication
Surgical handover
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
10 Jun 2024
10 Jun 2024
Historique:
received:
08
12
2023
accepted:
27
05
2024
medline:
11
6
2024
pubmed:
11
6
2024
entrez:
10
6
2024
Statut:
epublish
Résumé
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. 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. 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. 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. Core Outcome Measures in Effectiveness Trials (COMET) initiative 2675. http://www.comet-initiative.org/Studies/Details/2675 .
Sections du résumé
BACKGROUND
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
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.
ETHICS AND DISSEMINATION
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.
DISCUSSION
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.
TRIAL REGISTRATION
BACKGROUND
Core Outcome Measures in Effectiveness Trials (COMET) initiative 2675. http://www.comet-initiative.org/Studies/Details/2675 .
Identifiants
pubmed: 38858749
doi: 10.1186/s13063-024-08201-x
pii: 10.1186/s13063-024-08201-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
373Subventions
Organisme : Bon Secours Hospital in Dublin, Ireland, via the Royal College of Surgeons in Ireland (RCSI) StAR MD Programme
ID : 22253A02
Informations de copyright
© 2024. The Author(s).
Références
Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493–7. https://doi.org/10.1136/qshc.2009.033480 .
doi: 10.1136/qshc.2009.033480
pubmed: 20378628
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children’s hospitals. Pediatrics. 2014;134(2):e572–9. https://doi.org/10.1542/peds.2013-1844 .
doi: 10.1542/peds.2013-1844
pubmed: 25002665
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755–60.
doi: 10.1001/archinte.168.16.1755
pubmed: 18779462
Committee on Acute Care Surgery, Canadian Association of General Surgeons. Clinical practice guideline: dynamic practice guidelines for emergency general surgery. 2018. Available at: https://cags-accg.ca/wp-content/uploads/2018/11/ACS-Handbook-CPG-Ch-1-Rounding-and-Handover.pdf . Accessed 20 Mar 2023.
Abdellatif A, Bagian JP, Barajas ER, et al. Communication during patient hand-overs: patient safety solutions, volume 1, solution 3, May 2007. Jt Comm J Qual Patient Saf. 2007;33(7):439–42.
Bywaters E, Calvert S, Eccles S, et al. Safe handover: safe patients. British Medical Association. 2004. Available at: http://usir.salford.ac.uk/id/eprint/56145/ . Accessed 6 Jan 2023.
Ryan JM, McHugh F, Simiceva A, Eppich W, Kavanagh DO, McNamara DA. Daily handover in surgery: systematic review and a novel taxonomy of interventions and outcomes. BJS Open. 2024;8(2):zrae011. https://doi.org/10.1093/bjsopen/zrae011 .
Williamson PR, Altman DG, Bagley H, et al. The COMET handbook: version 1.0. Trials. 2017;18:1–50.
doi: 10.1186/s13063-017-1978-4
Dodd S, Gorst SL, Young A, Lucas SW, Williamson PR. Patient participation impacts outcome domain selection in core outcome sets for research: an updated systematic review. J Clin Epidemiol. 2023;158:127.
doi: 10.1016/j.jclinepi.2023.03.022
pubmed: 37054902
Kirkham JJ, Gorst S, Altman DG, et al. Core outcome Set-STAndardised protocol items: the COS-STAP statement. Trials. 2019;20:1–7.
doi: 10.1186/s13063-019-3230-x
Kirkham JJ, Davis K, Altman DG, et al. Core outcome Set-STAndards for development: the COS-STAD recommendations. PLoS Med. 2017;14(11):e1002447.
doi: 10.1371/journal.pmed.1002447
pubmed: 29145404
pmcid: 5689835
Kirkham JJ, Gorst S, Altman DG, et al. Core outcome set–STAndards for reporting: the COS-STAR statement. PLoS Med. 2016;13(10):e1002148.
doi: 10.1371/journal.pmed.1002148
pubmed: 27755541
pmcid: 5068732
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906.
doi: 10.1016/j.ijsu.2021.105906
pubmed: 33789826
Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12(1):1–8.
doi: 10.1186/1471-2288-12-181
Quirke FA, Battin MR, Bernard C, et al. Multi-round versus real-time Delphi survey approach for achieving consensus in the COHESION core outcome set: a randomised trial. Trials. 2023;24(1):461.
doi: 10.1186/s13063-023-07388-9
pubmed: 37468987
pmcid: 10354951
Akins RB, Tolson H, Cole BR. Stability of response characteristics of a Delphi panel: application of bootstrap data expansion. BMC Med Res Methodol. 2005;5(1):1–12.
doi: 10.1186/1471-2288-5-37
Quirke FA, Healy P, Bhraonáin EN, et al. Multi-round compared to real-time Delphi for consensus in core outcome set (COS) development: a randomised trial. Trials. 2021;22(1):142. https://doi.org/10.1186/s13063-021-05074-2 .
doi: 10.1186/s13063-021-05074-2
pubmed: 33588938
pmcid: 7885346
Brookes ST, Chalmers KA, Avery KN, et al. Impact of question order on prioritisation of outcomes in the development of a core outcome set: a randomised controlled trial. Trials. 2018;19:1–11.
doi: 10.1186/s13063-017-2405-6
Hall DA, Smith H, Heffernan E, Fackrell K, Group COMiTIDRS. Recruiting and retaining participants in e-Delphi surveys for core outcome set development: evaluating the COMiT’ID study. PloS One. 2018;13(7):e0201378.
doi: 10.1371/journal.pone.0201378
pubmed: 30059560
pmcid: 6066228
Royal College of Surgeons of England. Safe handover: guidance from the working time directive working party. RCS London; 2007. Available at: https://www.rcseng.ac.uk/library-and-publications/rcs-publications/docs/safe-handover/ . Accessed 6 Jan 2023.