Artikel
Methods for the guideline-based development of quality indicators – a systematic review
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Autoren
Veröffentlicht: | 10. Juli 2012 |
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Gliederung
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Background: Quality indicators (QI) are used in many health care settings to measure, compare and improve quality of care. For the efficient development of high quality QI, rigorous, approved and evidence-based development methods are needed. Clinical practice guidelines are a suitable source to derive QI from, but no gold standard for guideline-based QI development exists.
Objectives: This review aims to identify, describe and compare methodological approaches to guideline-based QI development.
Methods: We systematically searched medical literature databases (MEDLINE, EMBASE and CINAHL) and grey literature. Two researchers selected publications reporting methodological approaches to guideline-based QI development. In order to describe and compare methodological approaches used in these publications, we extracted detailed information on common steps of guideline-based QI development (topic selection, guideline selection, extraction of recommendations, QI selection, practice test and implementation) to pre-designed extraction-tables.
Results: From 8697 hits in the database search and several grey literature documents, we selected 48 relevant references. The studies were of heterogeneous type and quality. The relevant publications featured a wide variety of methodological approaches to guideline-based QI development, especially regarding guideline selection and extraction of recommendations. Only few studies reported patient involvement.
Discussion: We found no RCT or other studies comparing the ability of different methodological approaches to guideline-based development to generate high-quality QI. Implications for guideline developers/users Further research is needed to determine which elements of the methodological approaches identified, described and compared in this review are best suited to constitute a gold standard for guideline-based QI development.