Assessing the performance of indicators during their life cycle: the mixed QUID method

Autor: Bertrand Millat, Audrey Baron-Gutty, Valentin Daucourt, Hugo Bertillot, Estelle Aragona, Carlos El Khoury, Isabelle Gasquet, P. Occelli, Emmanuel Luigi, Julien Delonca, Philippe Michel, Isabelle Ray-Coquard, Laurie Fraticelli, Pierre Parneix, Jean-Patrick Lajonchere, Alain-Michel Ceretti, Olivier Farges, Antoine Duclos
Přispěvatelé: Hospices Civils de Lyon (HCL)
Rok vydání: 2019
Předmět:
Quality management
Delphi Technique
Quality Assurance
Health Care
media_common.quotation_subject
Delphi method
03 medical and health sciences
0302 clinical medicine
Health care
Humans
Relevance (information retrieval)
Quality (business)
030212 general & internal medicine
Public disclosure
Workgroup
Decision Making
Organizational
Quality Indicators
Health Care
media_common
Medical education
[SHS.STAT]Humanities and Social Sciences/Methods and statistics
business.industry
030503 health policy & services
Health Policy
Public Health
Environmental and Occupational Health
General Medicine
Quality Improvement
Hospitals
Test (assessment)
Evaluation Studies as Topic
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
France
0305 other medical science
business
Psychology
[STAT.ME]Statistics [stat]/Methodology [stat.ME]
Zdroj: International Journal for Quality in Health Care
International Journal for Quality in Health Care, Oxford University Press (OUP), 2020, 32 (1), pp.12-19. ⟨10.1093/intqhc/mzz090⟩
ISSN: 1464-3677
1353-4505
DOI: 10.1093/intqhc/mzz090
Popis: Background Quality indicators (QI) are mandatory in French hospitals. After a decade of use, the Ministry of Health set up an expert workgroup to enhance informed decision-making regarding currently used national QI, i.e. to propose a decision of withdrawing, revising or continuing their use. We report the development of an integrated method for a comprehensive appraisal of quality/safety indicators (QI) during their life cycle, for three purposes, quality improvement, public disclosure and regulation purposes. The method was tested on 10 national QI on use for up to 10 years to identify operational issues. Methods A modified Delphi technique to select relevant criteria and a development of a mixed evaluation method by the workgroup. A ‘real-life’ test on 10 national QI. Results Twelve criteria were selected for the appraisal of QI used for regulation goals, 11 were selected for hospital improvement and seven for public disclosure. The perceived feasibility and relevance were studied including hospital workers, patients and health authorities professionals; the scientific soundness of the indicator development phase was reviewed by analyzing reference documents; the metrological performance (limited to the discriminatory power and dynamics of change during the life cycle dimensions) was analyzed on the national datasets. Applied to the 10 QI, the workgroup proposed to withdraw four of them and to modify or suspend the six others. Conclusions The value of the method was supported by the clear-cut conclusions and endorsement of the proposed decisions by the health authorities.
Databáze: OpenAIRE
Externí odkaz: