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Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context

BACKGROUND: Currently, the use of quality indicators in the surgical setting may be challenged by diverse patient needs, clinical complexity, and health trajectories. Therefore, the objective of this study was to examine the adaptability of existing quality indicators to a surgical context and propo...

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Autores principales: Wood, Timothy, Chatfield, Mark, Gray, Leonard, Peel, Nancye, Freeman, Shannon, Martin-Khan, Melinda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9201359/
https://www.ncbi.nlm.nih.gov/pubmed/35722441
http://dx.doi.org/10.1177/20503121221103221
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author Wood, Timothy
Chatfield, Mark
Gray, Leonard
Peel, Nancye
Freeman, Shannon
Martin-Khan, Melinda
author_facet Wood, Timothy
Chatfield, Mark
Gray, Leonard
Peel, Nancye
Freeman, Shannon
Martin-Khan, Melinda
author_sort Wood, Timothy
collection PubMed
description BACKGROUND: Currently, the use of quality indicators in the surgical setting may be challenged by diverse patient needs, clinical complexity, and health trajectories. Therefore, the objective of this study was to examine the adaptability of existing quality indicators to a surgical context and propose new time points. METHODS: A multi-method approach included an environmental scan of the literature, consultation with multinational experts, and analysis of surgical patient data. Quality indicators from the nurse-administered interRAI Acute Care instrument were examined within a surgical context using secondary data from a hospital in Brisbane, Australia (N = 1006 surgical cases). RESULTS: A lack of relevancy of existing time points can preclude meaningful quality indicator measurement. Definitions of some quality indicators were adapted to ensure relevancy for the surgical population. As well, a surgical baseline (measured preoperative and post-injury) and a 48-h postoperative time point were added to the existing measurement timeline. CONCLUSION: Distinct measurement timelines were created for elective and non-elective surgical patients. The use of surgery-specific time points that can be embedded into an existing Acute Care measurement framework supports consistent quality indicator reporting. This study represents the first steps towards standardized quality reporting for health information systems across different care settings.
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spelling pubmed-92013592022-06-17 Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context Wood, Timothy Chatfield, Mark Gray, Leonard Peel, Nancye Freeman, Shannon Martin-Khan, Melinda SAGE Open Med Original Research Article BACKGROUND: Currently, the use of quality indicators in the surgical setting may be challenged by diverse patient needs, clinical complexity, and health trajectories. Therefore, the objective of this study was to examine the adaptability of existing quality indicators to a surgical context and propose new time points. METHODS: A multi-method approach included an environmental scan of the literature, consultation with multinational experts, and analysis of surgical patient data. Quality indicators from the nurse-administered interRAI Acute Care instrument were examined within a surgical context using secondary data from a hospital in Brisbane, Australia (N = 1006 surgical cases). RESULTS: A lack of relevancy of existing time points can preclude meaningful quality indicator measurement. Definitions of some quality indicators were adapted to ensure relevancy for the surgical population. As well, a surgical baseline (measured preoperative and post-injury) and a 48-h postoperative time point were added to the existing measurement timeline. CONCLUSION: Distinct measurement timelines were created for elective and non-elective surgical patients. The use of surgery-specific time points that can be embedded into an existing Acute Care measurement framework supports consistent quality indicator reporting. This study represents the first steps towards standardized quality reporting for health information systems across different care settings. SAGE Publications 2022-06-14 /pmc/articles/PMC9201359/ /pubmed/35722441 http://dx.doi.org/10.1177/20503121221103221 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Wood, Timothy
Chatfield, Mark
Gray, Leonard
Peel, Nancye
Freeman, Shannon
Martin-Khan, Melinda
Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title_full Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title_fullStr Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title_full_unstemmed Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title_short Examining the adaptability and validity of interRAI acute care quality indicators in a surgical context
title_sort examining the adaptability and validity of interrai acute care quality indicators in a surgical context
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9201359/
https://www.ncbi.nlm.nih.gov/pubmed/35722441
http://dx.doi.org/10.1177/20503121221103221
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