The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgeryShow others and affiliations
2023 (English)In: European Journal of Trauma and Emergency Surgery, ISSN 1863-9933, E-ISSN 1863-9941, Vol. 49, no 1, p. 5-15Article, review/survey (Refereed) Published
Abstract [en]
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.
Place, publisher, year, edition, pages
Springer, 2023. Vol. 49, no 1, p. 5-15
Keywords [en]
Observational cohort study, Snapshot audit, Surgery, Implementation science, Review, Protocol
National Category
Surgery Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-100305DOI: 10.1007/s00068-022-02045-3ISI: 000825931800002PubMedID: 35840703Scopus ID: 2-s2.0-85134336767OAI: oai:DiVA.org:oru-100305DiVA, id: diva2:1685526
Note
Funding agencies:
United States Department of Health & Human Services
National Institutes of Health (NIH) - USA 3R01HL153735-02S1 5P30AG059302-04 1U01OD033246-01 1R01HD105446-01
United States Department of Health & Human Services
Agency for Healthcare Research & Quality K12HS026372 5K12HS026372-04
Patient-Centered Outcomes Research Institute - PCORI 21,106
2022-08-032022-08-032025-02-03Bibliographically approved