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Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa

Facility-based emergency care delivery in low-income and middle- income countries is expanding rapidly, particularly in Africa. Unfortunately, these efforts rarely include measurement of the quality or the impact of care provided, which is essential for improvement of care provision. Our aim was to...

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Detalles Bibliográficos
Autores principales: Broccoli, Morgan C, Moresky, Rachel, Dixon, Julia, Muya, Ivy, Taubman, Cara, Wallis, Lee A, Calvello Hynes, Emilie J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841514/
https://www.ncbi.nlm.nih.gov/pubmed/29527337
http://dx.doi.org/10.1136/bmjgh-2017-000479
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author Broccoli, Morgan C
Moresky, Rachel
Dixon, Julia
Muya, Ivy
Taubman, Cara
Wallis, Lee A
Calvello Hynes, Emilie J
author_facet Broccoli, Morgan C
Moresky, Rachel
Dixon, Julia
Muya, Ivy
Taubman, Cara
Wallis, Lee A
Calvello Hynes, Emilie J
author_sort Broccoli, Morgan C
collection PubMed
description Facility-based emergency care delivery in low-income and middle- income countries is expanding rapidly, particularly in Africa. Unfortunately, these efforts rarely include measurement of the quality or the impact of care provided, which is essential for improvement of care provision. Our aim was to determine context-appropriate quality indicators that will allow uniform and objective data collection to enhance emergency care delivery throughout Africa. We undertook a multiphase expert consensus process to identify, rank and refine quality indicators. A comprehensive review of the literature identified existing indicators; those associated with a substantial burden of disease in Africa were categorised and presented to consensus conference delegates. Participants selected indicators based on inclusion criteria and priority clinical conditions. The indicators were then presented to a group of expert clinicians via on-line survey; all meeting agreements were refined in-person by a separate panel and ranked according to validity, feasibility and value. The consensus working group selected seven conditions addressing nearly 75% of mortality in the African region to prioritise during indicator development, and the final product at the end of the multiphase study was a list of 76 indicators. This comprehensive process produced a robust set of quality indicators for emergency care that are appropriate for use in the African setting. The adaptation of a standardised set of indicators will enhance the quality of care provided and allow for comparison of system strengthening efforts and resource distribution.
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spelling pubmed-58415142018-03-09 Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa Broccoli, Morgan C Moresky, Rachel Dixon, Julia Muya, Ivy Taubman, Cara Wallis, Lee A Calvello Hynes, Emilie J BMJ Glob Health Analysis Facility-based emergency care delivery in low-income and middle- income countries is expanding rapidly, particularly in Africa. Unfortunately, these efforts rarely include measurement of the quality or the impact of care provided, which is essential for improvement of care provision. Our aim was to determine context-appropriate quality indicators that will allow uniform and objective data collection to enhance emergency care delivery throughout Africa. We undertook a multiphase expert consensus process to identify, rank and refine quality indicators. A comprehensive review of the literature identified existing indicators; those associated with a substantial burden of disease in Africa were categorised and presented to consensus conference delegates. Participants selected indicators based on inclusion criteria and priority clinical conditions. The indicators were then presented to a group of expert clinicians via on-line survey; all meeting agreements were refined in-person by a separate panel and ranked according to validity, feasibility and value. The consensus working group selected seven conditions addressing nearly 75% of mortality in the African region to prioritise during indicator development, and the final product at the end of the multiphase study was a list of 76 indicators. This comprehensive process produced a robust set of quality indicators for emergency care that are appropriate for use in the African setting. The adaptation of a standardised set of indicators will enhance the quality of care provided and allow for comparison of system strengthening efforts and resource distribution. BMJ Publishing Group 2018-02-15 /pmc/articles/PMC5841514/ /pubmed/29527337 http://dx.doi.org/10.1136/bmjgh-2017-000479 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Analysis
Broccoli, Morgan C
Moresky, Rachel
Dixon, Julia
Muya, Ivy
Taubman, Cara
Wallis, Lee A
Calvello Hynes, Emilie J
Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title_full Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title_fullStr Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title_full_unstemmed Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title_short Defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in Africa
title_sort defining quality indicators for emergency care delivery: findings of an expert consensus process by emergency care practitioners in africa
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841514/
https://www.ncbi.nlm.nih.gov/pubmed/29527337
http://dx.doi.org/10.1136/bmjgh-2017-000479
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