gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Methods for the guideline-based development of quality indicators – a systematic review

Meeting Abstract

Suche in Medline nach

  • T. Koetter - Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Institute for Social Medicine, University Medical Center Schleswig-Holstein, Lübeck, Germany
  • E. Blozik - Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • M. Scherer - Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP156

DOI: 10.3205/12gin268, URN: urn:nbn:de:0183-12gin2680

Veröffentlicht: 10. Juli 2012

© 2012 Koetter et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

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.