Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process
| Autor: | Hans Kirkegaard, Annette Odby, Julie Mackenhauer, Christian Fynbo Christiansen, Michael Moesmann Madsen, Lisa Kurland, Andreas Halgreen Eiset |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Consensus
Delphi Technique Performance indicator Denmark Quality indicator media_common.quotation_subject MEDLINE Delphi method Key indicator Performance measure Critical Care and Intensive Care Medicine Delphi Emergency in-hospital care Danish 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Time-critical condition Health care medicine Humans Quality (business) 030212 general & internal medicine Quality Indicators Health Care Original Research computer.programming_language media_common Emergency department business.industry Quality measure 030208 emergency & critical care medicine medicine.disease ED language.human_language language Emergency Medicine Medical emergency Emergency Service Hospital business computer |
| Zdroj: | Madsen, MM, Eiset, A H, Mackenhauer, J, Odby, A, Christiansen, C F, Kurland, L & Kirkegaard, H 2016, ' Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process ', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 24, no. 1, 11 . https://doi.org/10.1186/s13049-016-0203-x Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| DOI: | 10.1186/s13049-016-0203-x |
| Popis: | Background In 2013, Danish policy-makers on a nationwide level decided to set up a national quality of care database for hospital-based emergency care in Denmark including the selection of quality indicators. The aim of the study was to describe the Delphi process that contributed to the selection of quality indicators for a new national database of hospital-based emergency care in Denmark. Methods The process comprised a literature review followed by a modified-Delphi survey process, involving a panel of 54 experts (senior clinicians, researchers and administrators from the emergency area and collaborating specialties). Based on the literature review, we identified 43 potential indicators, of which eight were time-critical conditions. We then consulted the Expert panel in two consecutive rounds. The Expert panel was asked to what extent each indicator would be a good measure of hospital-based emergency care in Denmark. In each round, the Expert panel participants scored each indicator on a Likert scale ranging from one (=disagree completely) through to six (=agree completely). Consensus for a quality indicator was reached if the median was greater than or equal to five (=agree). The Delphi process was followed by final selection by the steering group for the new database. Results Following round two of the Expert panel, consensus was reached on 32 quality indicators, including three time-critical conditions. Subsequently, the database steering group chose a set of nine quality indicators for the initial version of the national database for hospital-based emergency care. Conclusions The two-round modified Delphi process contributed to the selection of an initial set of nine quality indicators for a new a national database for hospital-based emergency care in Denmark. Final selection was made by the database steering group informed by the Delphi process. Electronic supplementary material The online version of this article (doi:10.1186/s13049-016-0203-x) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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