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The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgery
Örebro University, School of Medical Sciences. Division of Trauma, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA, USA; Division of Trauma and Emergency Surgery, Orebro University Hospital and Faculty of School of Medical Sciences, Örebro University, Örebro, Sweden; Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISC-LDI), University of Pennsylvania, Philadelphia PA, USA; Center for Perioperative Outcomes Research and Transformation (CPORT), University of Pennsylvania, Philadelphia PA, USA.ORCID iD: 0000-0002-1918-9443
Division of Trauma, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia PA, USA.ORCID iD: 0000-0002-1514-1274
Division of Trauma and Emergency Surgery, Orebro University Hospital and Faculty of School of Medical Sciences, Örebro University, Örebro, Sweden; Department of Surgery, Tallaght University Hospital, Dublin, Ireland.ORCID iD: 0000-0003-2609-0836
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Clinical Epidemiology and Biostatistics.ORCID iD: 0000-0002-3552-9153
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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 

Available from: 2022-08-03 Created: 2022-08-03 Last updated: 2025-02-03Bibliographically approved

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Bass, Gary ACao, YangMohseni, Shahin

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Bass, Gary AKaplan, Lewis J.Ryan, Éanna J.Cao, YangLane-Fall, MeghanDuffy, Caoimhe C.Vail, Emily A.Mohseni, Shahin
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SurgeryAnesthesiology and Intensive Care

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