| Zdroj: |
Quraishi, M, Dobson, E, Ainley, R, Din, S, Wakeman, R, Cummings, F, Sebastian, S, Bloom, S, K. Limdi, J, Dhar, A, Speight, R A, Bodger, K, Kennedy, N A, Lamb, C, Arnott, I & Selinger, C 2023, ' Establishing Key Performance Indicators for Inflammatory Bowel Disease in the United Kingdom ', Frontline Gastroenterology . https://doi.org/10.1136/flgastro-2023-102409 |
| Popis: |
Background and aimsHealthcare quality improvement is the systematic process to continuously improve the quality of care and outcomes for patients. The landmark Inflammatory Bowel Disease UK National Audits provided a means to measure the variation in care, highlighting the need to define the standards of excellence in IBD care. Through a consensus approach, we aimed to establish key performance indicators (KPIs), providing reliable benchmarks for IBD care delivery in UK.MethodsKPIs that measure critical aspects of a patient journey within an IBD service were identified though stakeholder meetings. A two stage Delphi consensus was then conducted. The first involved a multidisciplinary team of IBD clinicians and patients to refine definitions and methodology. The second stage assessed feasibility and utility of the proposed QI process by surveying gastroenterology services across UK. ResultsFirstly, the four proposed KPIs were refined and included time from primary care referral todiagnosis in secondary care, time to treatment recommendation following a diagnosis, appropriate use of steroids and advanced therapies pre-screening and assessment. Secondly, the Delphi consensus reported >85% agreement on the feasibility of local adoption of the QI process and >75%agreement on the utility of benchmarking of the KPIs.Conclusions:Through a structured approach we propose quantifiable KPIs for benchmarking to improve and reduce the individual variation in IBD care across the UK. |
