First proposal of quality indicators and standards and recommendations to improve the healthcare in the Spanish National Registry of Hip Fracture
| Autor: | Teresa Pareja-Sierra, Angel Otero-Puime, Paloma Gómez-Campelo, Teresa Alarcón-Alarcón, Angélica Muñoz-Pascual, José Luis Pérez-Castrillón, María Concepción Cassinello-Ogea, Cristina Ojeda-Thies, Patricia Ysabel Condorhuamán-Alvarado, Laura Navarro-Castellanos, Juan Ignacio González-Montalvo, Pilar Sáez-López |
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| Rok vydání: | 2019 |
| Předmět: |
Aging
Care process medicine.medical_specialty media_common.quotation_subject Advisory committee Medicine (miscellaneous) 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans Quality (business) 030212 general & internal medicine Registries Quality of care media_common Aged Quality Indicators Health Care Hip fracture business.industry Hip Fractures medicine.disease Quality Improvement Quartile Spain Physical therapy National registry Geriatrics and Gerontology business |
| Zdroj: | Revista espanola de geriatria y gerontologia. 54(5) |
| ISSN: | 1578-1747 |
| Popis: | Background The Spanish National Hip Fracture Registry (or Registro Nacional de Fractura de Cadera, RNFC) is a database of hip fracture patients admitted to Spanish hospitals. Its goals include assessment and continuous improvement of the care process. Objectives To (1) establish a series of indicators, (2) evaluate their initial fulfillment, (3) propose quality standards, (4) suggest recommendations to facilitate standards compliance, and (5) monitor the indicators. Method The indicators fulfilled the criteria of (1) evaluating the process or outcome, (2) being clinically relevant for patients, (3) being modifiable through changes in healthcare practice, and (4) being considered important by the RNFC participants. The first quartile obtained by the group of hospitals in each of the respective variables was proposed as the standard. The Indicators Advisory Committee (IAC) elaborated a list of recommendations for each indicator, based on the available evidence. Results Seven indicators were chosen. These indicators (its baseline compliance vs. the standard to be reached, respectively) were: the proportion of patients receiving surgery within 48 h (44% vs. 63%), mobilized the first postoperative day (56% vs. 86%), with antiosteoporotic medication at discharge (32% vs. 61%), with calcium supplements at discharge (46% vs. 77%), with vitamin D supplements at discharge (67% vs. 92%), who developed pressure ulcers during hospitalization (7.2% vs. 2.1%) and with independent mobility at 30 days (58% vs. 70%). The IAC has established 25 recommendations for improving care. Conclusion The indicators and standards chosen are presented, as well as the list of recommendations. This process completes the first step to improve quality of care. The results will be evaluated 6 months after implementing the recommendations. |
| Databáze: | OpenAIRE |
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