162788 20251017144635.0 doi 10.1016/j.bja.2025.04.047 sideral 145321 ART-2025-145321 eng Arnal-Velasco, Daniel Multidisciplinary, evidence-based, patient-centred perioperative patient safety recommendations: a European consensus study☆ 2025 Access copy available to the general public Unrestricted Surgery-related adverse events are among the most common adverse events in-hospital. However, no comprehensive, multidisciplinary perioperative guidelines exist at the European level. The aim of this study is to describe the process and results in achieving European multidisciplinary consensus on perioperative patient safety recommendations. Methods. This multimethod study included: (1) a systematic review of guidelines; (2) selection and synthesis of recommendations; and (3) a two-round modified Delphi technique including a 2-day face-to-face consensus conference. We recruited a panel of two expert groups balanced in terms of gender, geographical origin, and professional background, with meaningful participation from patient representatives. Consensus was defined as at least 70% of the panel rating a recommendation 7–9 on a 9-point Likert scale for importance to patient safety and feasibility of implementation. Results. The systematic review included 267 guidelines, from which 4666 patient safety recommendations were identified and extracted. After four synthesis rounds, 99 recommendations were presented for the Delphi survey, detailing their strength of recommendation, level of evidence, and methodological quality of the cited guidelines. An expert group, composed of 66 multidisciplinary experts from 19 European countries, participated with a response rate of 80.3%. After the two Delphi rounds and the consensus conference, the panel agreed on a final set of 101 recommended perioperative patient safety practices. Conclusions. A set of 101 comprehensive, evidence-based, patient-centred perioperative patient safety practices was developed through a European consensus process to improve the quality of care in healthcare facilities across Europe and beyond. info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Martinez-Nicolas, Ismael Fabregas, Neus Bartakke, Ashish Calsbeek, Hiske Emond, Yvette Groene, Oliver León, Irene Žaludek, Adam Nunes, Ana B. Orrego, Carola Põlluste, Kaja Rodriguez, Anna Sanduende, Yolanda Schäfer, Willemijn Silva-García, Javier Soria, Victor Sousa, Paulo Valli, Claudia Voshaar, Marieke Wittmann, Maria Garel, Pascal Romero, Eva Arnal-Velasco, Daniel Baneres, Joaquim Bartakke, Ashish Calsbeek, Hiske Carrasco, Genis Casaca-Carvalho, Pedro De Robertis, Edoardo Emond, Yvette Fabregas, Neus Silva-Garcia, Javier Garel, Pascal Groene, Oliver Heideveld-Chevalking, Anita Kangasniemi, Mari Kommusaar, Janne Kristensen, Kaja Leite, Andreia Leon, Irene Martínez-Nicolás, Ismael Marx, David Nabbe, Marie Nunes, Ana Beatriz Orrego, Carola Põlluste, Kaja Pühvel, Janne Romero-Garcia, Eva Sanduende-Otero, Yolanda Schäfer, Willemijn Schlinkert, Caroline Seyfulayeva, Ayshe Soria-Aledo, Victor Sousa, Paulo Starkopf, Joel Sunol, Rosa Vall, Helena Valli, Claudia van der Schoot, Nina Van Tuyl, Lilian Vlcek, Frantisek Voshaar, Marieke Wagner, Cordula Wang, Sophie Weynants, Cathy Žaludek, Adam Zamarian, Sandro Diogo, Nuno Fernández, María del Mar Garel, Pascal Groene, Oliver Heideveld-Chevalking, Anita Leon, Irene Peep, Talving Schäfer, Willemijn Voshaar, Marieke Wittmann, Maria Zaludek, Adam Ahmed, Aamer Angelis, Fragkiskos Astier-Peña, María Pilar Baptista, Catarina Bareka, Metaxia Bielka, Kateryna Bilbao, Mercedes Bilotta, Federico Vives, Elvira Bisbe Boermeester, Marja Brilhante, Dialina Carrascal, Pedro de Boer, Hans D. Dekker, Edith Delgado, Pedro Samalavicius, Narimantas Evaldas Farkas-Pall, Zsuzsanna Fowler, Aidan Gigli, Loredana Haskell, Helen Herda, Radoslav Hofland, Jan Hunt, Beverley J. Jammer, Ib Kapper, Janek Kovac, Natasa Kutryba, Barbara Martínez, Susana Lorenzo Manker, Thalia Matta, Basil Meço, Basak Ceyda Meijome, Xose Manuel Mellin-Olsen, Jannicke Murphy, Margaret Ntalouka, Maria Ornelas, Marta Dora Papadakaki, Maria Picard, Julien Pietruszka, Marek Preckel, Benedikt Pütz, Michele Radtke, Finn Ramírez Rodríguez, José Manuel Universidad de Zaragoza (orcid)0000-0001-7964-1166 Rondinelli, Maria Beatrice Pavlic, Danica Rotar Schoemaker, Ed Smid-Nanninga, Henriëtte Spedener, Jules Staender, Sven Starkopf, Joel Haugen, Arvid Steinar Stern, Michael Tansley, John Tomášková, Zuzana van der Kolk, Marion Venneri, Francesco Vieira dos Santos, Pedro Weigl, Matthias Zoumprouli, Argyro 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 135, 3 (2025), 723-736 Br. J. Anaesth. BRITISH JOURNAL OF ANAESTHESIA 0007-0912 493817 http://zaguan.unizar.es/record/162788/files/texto_completo.pdf Versión publicada 2783890 http://zaguan.unizar.es/record/162788/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:162788 articulos driver 2025-10-17-14:28:25 ARTICLE