Determining the minimum dataset for surgical patients in Africa : a Delphi study
Kluyts, Hyla-Louise; Bedwell, Gillian J.; Bedada, Alemayehu G.; Fadalla, Tarig; Hewitt-Smith, Adam; Mbwele, Bernard A.; Mrara, Busisiwe; Omigbodun, Akinyinka; Omoshoro-Jones, Jones; Turton, Edwin W.; Belachew, Fitsum K.; Chu, Kathryn; Cloete, Esther; Ekwen, Gerald; Elfagieh, Mohamed Ahmed; Elfiky, Mahmoud; Maimbo, Mayaba; Morais, Atilio; Mpirimbanyi, Christophe; Munlemvo, Dolly; Ndarukwa, Pisirai; Smalle, Isaac; Torborg, Alexandra M.; Ulisubisya, Mpoki; Fawzy, Maher; Gobin, Veekash; Mbeki, Motselisi; Ngumi, Zipporah; Patel-Mujajati, Ushmaben; Sama, Hamza D.; Tumukunde, Janat; Antwi-Kusi, Akwasi; Basenaro, Apollo; Lamacraft, Gillian; Madzimbamuto, Farai; Maswime, Salome; Msosa, Vanessa; Mulwafu, Wakisa; Youssouf, Coulibaly; Pearse, Rupert; Biccard, Bruce M.
Date:
2023-03
Abstract:
BACKGROUND :
It is often difficult for clinicians in African low- and middle-income countries middle-income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi study was to develop a standardised perioperative dataset for use in a registry.
METHODS :
A Delphi method was followed to achieve consensus on the data points to include in a minimum perioperative dataset. The study consisted of two electronic surveys, followed by an online discussion and a final electronic survey (four Rounds).
RESULTS :
Forty-one members of the African Perioperative Research Group participated in the process. Forty data points were deemed important and feasible to include in a minimum dataset for electronic capturing during the perioperative workflow by clinicians. A smaller dataset consisting of eight variables to define risk-adjusted perioperative mortality rate was also described.
CONCLUSIONS :
The minimum perioperative dataset can be used in a collaborative effort to establish a resource accessible to African clinicians in improving quality of care.
