Delphi consensus statement: Quality indicators for Inflammatory Bowel Disease Comprehensive Care Units
| Autor: | Xavier Calvet, Luciano Sanromán, Noelia Alfaro, Marta Gallego, Javier P. Gisbert, Eugeni Domènech, Beatriz Sicilia, Manu Barreiro, Lazaro y de Mercado Pablo Lázaro y de Mercado, Valle García-Sánchez, Montserrat Andreu, Joaquín Hinojosa, Fernando Bermejo, Juan L. Mendoza, Gomollon Fernando Gomollón, Pilar Pinilla, Laura Marín, Francisca Murciano, Mayte Ortega, M.I. Vera, Nurses: Angelina Dosal, José Ramón García, Julio Roldán, Antonio López-Sanromán, Antonio Torrejón, R Alos, Pilar Martínez-Montiel, Eloy Espin, Maria Esteve, Perez Ildefonso Pérez, B. Casis, Elena Moreno Sánchez, Xavier Aldeguer, Panes Julián Panés |
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| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Delphi Technique media_common.quotation_subject Disease Inflammatory bowel disease Nursing Crohn Disease Multidisciplinary approach Health care Ambulatory Care Medicine Humans Quality (business) Intensive care medicine media_common computer.programming_language Quality Indicators Health Care Core set Patient Care Team Inpatient care business.industry Gastroenterology General Medicine Continuity of Patient Care medicine.disease Hospitalization Crohn's disease Outcome and Process Assessment Health Care Ulcerative colitis Quality Indicators Colitis Ulcerative business computer Hospital Units Delphi |
| Zdroj: | Journal of Crohn's & colitis r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 1873-9946 |
| DOI: | 10.1016/j.crohns.2013.10.010 |
| Popis: | Background and aims: While it is commonly accepted that Inflammatory bowel disease (IBD) Comprehensive Care Units (ICCUs) facilitate the delivery of quality care to Crohn's disease and ulcerative colitis patients, it remains unclear how an ICCU should be defined or evaluated. The aim of the present study was to develop a comprehensive set of Quality Indicators (QIs) of structure, process, and outcomes for defining and evaluating an ICCU. Methods: A Delphi consensus-based approach with a standardized three-step process was used to identify a core set of QIs. The process included an exhaustive search using complementary approaches to identify potential QIs, and two Delphi voting rounds to select the QIs defining the core requirements for an ICCU. Results: The consensus selected a core set of 56 QIs (12 structure, 20 process and 24 outcome). Structure and process QIs highlighted the need for multidisciplinary management and continuity of care. The minimal IBD team should include an IBD nurse, gastroenterologists, radiologists, surgeons, endoscopists and stoma management specialists. ICCUs should be able to provide both outpatient and inpatient care and admission should not break the continuity of care. Outcome QIs focused on the adequate prophylaxis of disease complication and drug adverse events, the need to monitor appropriateness of treatment and the need to reinforce patient autonomy by providing adequate information and facilitating the patients' participation in their own care. Conclusions: The present Delphi consensus identified a set of core QIs that may be useful for evaluating and certifying ICCUs. (C) 2013 The Authors. Published by Elsevier B.V. on behalf of European Crohn's and Colitis Organisation. All rights reserved. |
| Databáze: | OpenAIRE |
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