• Lena Koers, Wolfgang S Schlack, Markus W Hollmann, Stefan de Hert, and Benedikt Preckel.
• Department of Anesthesiology, Academic Medical Centre, Amsterdam, The Netherlands.
• Minerva Anestesiol. 2017 May 1; 83 (5): 457-464.

BackgroundSubstandard implementation of a guideline is a major factor contributing to poor guideline adherence and has the potential to result in preventable patient harm. This study aims to quantify the uptake of the European guideline on non-cardiac surgery by European anesthetists.MethodsThis is a questionnaire-based cross-sectional study. Data was collected during Euroanaesthesia, the annual congresses of the Dutch Society of Anaesthesiology, European Association of Cardiothoracic Anaesthesiologists and European Society for Regional Anaesthesia and Pain Therapy in 2015. Primary endpoints were the implementation and knowledge scores derived from the questionnaires.ResultsThe implementation score from 488 questionnaires was excellent in 4%, good in 14%, average in 22%, poor in 32% and very poor in 28% of the cases. The knowledge score was excellent in 1%, good in 27%, moderate in 49%, poor in 18% and very poor in 5% of the cases.ConclusionsCurrent implementation and knowledge of the guideline on non-cardiac surgery in Europe needs to be improved.

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