European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes

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Aktaa, SulemanLeeds Teaching Hospitals NHS Trust,Leeds School of Medicine,University of Leeds (författare)

AIMS: It is increasingly recognised that tools are required for assessing and benchmarking quality of care in order to improve it. The European Society of Cardiology (ESC) is developing a suite of quality indicators (QIs) to evaluate cardiovascular care and support the delivery of evidence-based care. This paper describes the methodology used for their development.METHODS AND RESULTS: We propose a four-step process for the development of the ESC QIs. For a specific clinical area with a gap in care delivery, the QI development process includes: 1) the identification of key domains of care by constructing a conceptual framework of care; 2) the construction of candidate QIs by conducting a systematic review of the literature; 3) the selection of a final set of QIs by obtaining expert opinions using the modified Delphi method; and 4) the undertaking of a feasibility assessment by evaluating different ways of defining the QI specifications for the proposed data collection source. For each of the four steps, key methodological areas need to be addressed to inform the implementation process and avoid misinterpretation of the measurement results.CONCLUSION: Detailing the methodology for the ESC QIs construction enables healthcare providers to develop valid and feasible metrics to measure and improve the quality of cardiovascular care. As such, high-quality evidence may be translated into clinical practice and the 'evidence-practice' gap closed.

Batra, GoravUppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)gorba357 (författare)
Wallentin, Lars,1943-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)larswall (författare)
Baigent, ColinUniversity of Oxford (författare)
Erlinge, DavidLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kard-der (författare)
James, Stefan,1964-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)stjam367 (författare)
Ludman, PeterUniversity of Birmingham (författare)
Maggioni, Aldo P. (författare)
Price, SusannaRoyal Brompton Hospital (författare)
Weston, Clive (författare)
Casadei, BarbaraUniversity of Oxford (författare)
Gale, Chris P.University of Leeds,Leeds Teaching Hospitals NHS Trust,Leeds School of Medicine (författare)
Leeds Teaching Hospitals NHS TrustLeeds School of Medicine (creator_code:org_t)

Ingår i:European Heart Journal - Quality of Care and Clinical Outcomes: Oxford University Press8:1, s. 4-132058-52252058-1742

Av författaren/redakt...: Aktaa, Suleman; Batra, Gorav; Wallentin, Lars, ...; Baigent, Colin; Erlinge, David; James, Stefan, 1 ...; visa fler...; Ludman, Peter; Maggioni, Aldo P ...; Price, Susanna; Weston, Clive; Casadei, Barbara; Gale, Chris P.; visa färre...

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