Proceedings of resources for optimal care of acute care and emergency surgery consensus summit Donegal Ireland

M. Sugrue*, R. Maier, E. E. Moore, M. Boermeester, F. Catena, F. Coccolini, A. Leppaniemi, A. Peitzman, G. Velmahos, L. Ansaloni, F. Abu-Zidan, P. Balfe, C. Bendinelli, W. Biffl, M. Bowyer, M. DeMoya, J. De Waele, S. Di Saverio, A. Drake, G. P. FragaA. Hallal, C. Henry, T. Hodgetts, L. Hsee, S. Huddart, A. W. Kirkpatrick, Y. Kluger, L. Lawler, M. A. Malangoni, M. Malbrain, P. MacMahon, K. Mealy, M. O'Kane, P. Loughlin, M. Paduraru, L. Pearce, B. M. Pereira, A. Priyantha, M. Sartelli, K. Soreide, C. Steele, S. Thomas, J. L. Vincent, L. Woods

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Background: Opportunities to improve emergency surgery outcomes exist through guided better practice and reduced variability. Few attempts have been made to define optimal care in emergency surgery, and few clinically derived key performance indicators (KPIs) have been published. A summit was therefore convened to look at resources for optimal care of emergency surgery. The aim of the Donegal Summit was to set a platform in place to develop guidelines and KPIs in emergency surgery. Methods: The project had multidisciplinary global involvement in producing consensus statements regarding emergency surgery care in key areas, and to assess feasibility of producing KPIs that could be used to monitor process and outcome of care in the future. Results: Forty-four key opinion leaders in emergency surgery, across 7 disciplines from 17 countries, composed evidence-based position papers on 14 key areas of emergency surgery and 112 KPIs in 20 acute conditions or emergency systems. Conclusions: The summit was successful in achieving position papers and KPIs in emergency surgery. While position papers were limited by non-graded evidence and non-validated KPIs, the process set a foundation for the future advancement of emergency surgery.

Original languageEnglish
Article number47
JournalWorld Journal of Emergency Surgery
Volume12
Issue number1
DOIs
StatePublished - 23 Oct 2017
Externally publishedYes

Keywords

  • Emergency surgery
  • Optimal care
  • Performance indicators
  • Surgical outcomes

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