The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgery.
Purpose: For some surgical conditionns and scientific questions, the "real world" effectiveness of surgical patient care may be better explored using a multi-institutional time-bound observational cohort assessment approach (termed a "snapshot audit") than by retrospective review of administrative d...
| Published in: | European Journal of Trauma & Emergency Surgery Vol. 49; no. 1; pp. 5 - 16 |
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| Main Authors: | , , , , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Feb2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161854986&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161854986 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Feb2023 vid: 49 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 161854986 161854986 161854986 10.1007/s00068-022-02045-3 161854986 ppf: 5 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgery. aug: au: Bass, Gary A. Kaplan, Lewis J. Ryan, Éanna J. Cao, Yang Lane-Fall, Meghan Duffy, Caoimhe C. Vail, Emily A. Mohseni, Shahin affil: Division of Trauma, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, 51 N. 39th Street, MOB 1, Suite 120, 19104, Philadelphia, PA, USA sug: subj: Implementation Science Audit Methods Surgical Patients Patient Care Human Funding Source Nonexperimental Studies Prospective Studies Retrospective Design Scales Protocols Manuscripts Guideline Adherence ab: Purpose: For some surgical conditionns and scientific questions, the "real world" effectiveness of surgical patient care may be better explored using a multi-institutional time-bound observational cohort assessment approach (termed a "snapshot audit") than by retrospective review of administrative datasets or by prospective randomized control trials. We discuss when this might be the case, and present the key features of developing, deploying, and assessing snapshot audit outcomes data. Methods: A narrative review of snapshot audit methodology was generated using the Scale for the Assessment of Narrative Review Articles (SANRA) guideline. Manuscripts were selected from domains including: audit design and deployment, statistical analysis, surgical therapy and technique, surgical outcomes, diagnostic testing, critical care management, concomitant non-surgical disease, implementation science, and guideline compliance. Results: Snapshot audits all conform to a similar structure: being time-bound, non-interventional, and multi-institutional. A successful diverse steering committee will leverage expertise that includes clinical care and data science, coupled with librarian services. Pre-published protocols (with specified aims and analyses) greatly helps site recruitment. Mentored trainee involvement at collaborating sites should be encouraged through manuscript contributorship. Current funding principally flows from medical professional organizations. Conclusion: The snapshot audit approach to assessing current care provides insights into care delivery, outcomes, and guideline compliance while generating testable hypotheses. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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