Surgical Preparedness Index: Validating Global Capacity for Elective Surgery Resilience; Research by Asad Islam
The global need for resilient elective surgery systems was cast into sharp relief during the COVID-19 pandemic, which disrupted planned surgical care worldwide. Responding to this challenge, an international research consortium developed and validated the Surgical Preparedness Index (SPI)—an objective, multidomain metric to assess hospital-level readiness to maintain elective surgical services during systemic shocks. Methods and Measurement The genesis of the SPI involved expert consensus and pilot studies in 1632 hospitals drawn from 119 countries. Using a rigorous development framework, an initial list of 103 readiness indicators was systematically reduced to 23 validated metrics, grouped into five domains: facilities, consumables, staff, prioritization, and management systems. Each indicator was precisely defined and globally applicable, supporting robust benchmarking and cross-country comparison. SPI scores were then correlated against hospital elective surgical volume recovery pos...