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Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection

INTRODUCTION: This study objective was to identify, select, and define a basic set of quality indicators for pediatric intensive care in Spain. METHODS: (1) Review of the literature to identify quality indicators and their defining elements and (2) selection of indicators by consensus of a group of...

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Autores principales: Hernández-Borges, Angel A., Pérez-Estévez, Elena, Jiménez-Sosa, Alejandro, Concha-Torre, Andrés, Ordóñez-Sáez, Olga, Sánchez-Galindo, Amelia C., Murga-Herrera, Vega, Balaguer-Gargallo, Mónica, Nieto-Moro, Montserrat, Pujol-Jover, Montserrat, Aleo-Luján, Esther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132791/
https://www.ncbi.nlm.nih.gov/pubmed/30229149
http://dx.doi.org/10.1097/pq9.0000000000000009
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author Hernández-Borges, Angel A.
Pérez-Estévez, Elena
Jiménez-Sosa, Alejandro
Concha-Torre, Andrés
Ordóñez-Sáez, Olga
Sánchez-Galindo, Amelia C.
Murga-Herrera, Vega
Balaguer-Gargallo, Mónica
Nieto-Moro, Montserrat
Pujol-Jover, Montserrat
Aleo-Luján, Esther
author_facet Hernández-Borges, Angel A.
Pérez-Estévez, Elena
Jiménez-Sosa, Alejandro
Concha-Torre, Andrés
Ordóñez-Sáez, Olga
Sánchez-Galindo, Amelia C.
Murga-Herrera, Vega
Balaguer-Gargallo, Mónica
Nieto-Moro, Montserrat
Pujol-Jover, Montserrat
Aleo-Luján, Esther
author_sort Hernández-Borges, Angel A.
collection PubMed
description INTRODUCTION: This study objective was to identify, select, and define a basic set of quality indicators for pediatric intensive care in Spain. METHODS: (1) Review of the literature to identify quality indicators and their defining elements and (2) selection of indicators by consensus of a group of experts using basic Delphi methodology (2 rounds) and forms distributed by email among experts from the Spanish society of pediatric intensive care. RESULTS: We selected quality indicators according to their relevance and feasibility and the experts’ agreement on their incorporation in the final set. We included only those indicators whose assessment was within the highest tertile and greater than or equal to 70% evaluator agreement in the final selection. Starting from an initially proposed set of 136 indicators, 31 experts first selected 43 indicators for inclusion in the second round. Twenty indicators were selected for the final set. This “top 20” set comprised 9 process indicators, 9 of results (especially treatment-associated adverse effects), and 2 indicators of structure. Several of them are classical indicators in intensive care medicine (rates of hospital-acquired infections, pressure ulcers, etc.), whereas others are specifically pediatric (eg, unrestricted parent visitation or training the parents of technology-dependent children). CONCLUSIONS: We reached a consensus on a set of 20 essential quality indicators for pediatric intensive care in Spain. A significant subset reflects the peculiarities of pediatric care. We consider this subset as a starting point for future projects of network collaboration between pediatric intensive care units in Spain.
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spelling pubmed-61327912018-09-18 Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection Hernández-Borges, Angel A. Pérez-Estévez, Elena Jiménez-Sosa, Alejandro Concha-Torre, Andrés Ordóñez-Sáez, Olga Sánchez-Galindo, Amelia C. Murga-Herrera, Vega Balaguer-Gargallo, Mónica Nieto-Moro, Montserrat Pujol-Jover, Montserrat Aleo-Luján, Esther Pediatr Qual Saf Multi-institutional Collaborative and QI Network Research INTRODUCTION: This study objective was to identify, select, and define a basic set of quality indicators for pediatric intensive care in Spain. METHODS: (1) Review of the literature to identify quality indicators and their defining elements and (2) selection of indicators by consensus of a group of experts using basic Delphi methodology (2 rounds) and forms distributed by email among experts from the Spanish society of pediatric intensive care. RESULTS: We selected quality indicators according to their relevance and feasibility and the experts’ agreement on their incorporation in the final set. We included only those indicators whose assessment was within the highest tertile and greater than or equal to 70% evaluator agreement in the final selection. Starting from an initially proposed set of 136 indicators, 31 experts first selected 43 indicators for inclusion in the second round. Twenty indicators were selected for the final set. This “top 20” set comprised 9 process indicators, 9 of results (especially treatment-associated adverse effects), and 2 indicators of structure. Several of them are classical indicators in intensive care medicine (rates of hospital-acquired infections, pressure ulcers, etc.), whereas others are specifically pediatric (eg, unrestricted parent visitation or training the parents of technology-dependent children). CONCLUSIONS: We reached a consensus on a set of 20 essential quality indicators for pediatric intensive care in Spain. A significant subset reflects the peculiarities of pediatric care. We consider this subset as a starting point for future projects of network collaboration between pediatric intensive care units in Spain. Wolters Kluwer Health 2017-01-16 /pmc/articles/PMC6132791/ /pubmed/30229149 http://dx.doi.org/10.1097/pq9.0000000000000009 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CC-BY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Multi-institutional Collaborative and QI Network Research
Hernández-Borges, Angel A.
Pérez-Estévez, Elena
Jiménez-Sosa, Alejandro
Concha-Torre, Andrés
Ordóñez-Sáez, Olga
Sánchez-Galindo, Amelia C.
Murga-Herrera, Vega
Balaguer-Gargallo, Mónica
Nieto-Moro, Montserrat
Pujol-Jover, Montserrat
Aleo-Luján, Esther
Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title_full Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title_fullStr Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title_full_unstemmed Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title_short Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection
title_sort set of quality indicators of pediatric intensive care in spain: delphi method selection
topic Multi-institutional Collaborative and QI Network Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132791/
https://www.ncbi.nlm.nih.gov/pubmed/30229149
http://dx.doi.org/10.1097/pq9.0000000000000009
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