Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury

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Fältnamn	Indikatorer	Metadata
000		06296naa a2201093 4500
001		oai:DiVA.org:umu-157950
003		SwePub
008		190417s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:140566310
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1579502 URI
024	7	a https://doi.org/10.1186/s13054-019-2377-x2 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1405663102 URI
040		a (SwePub)umud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Huijben, Jilske A.4 aut
245	1 0	a Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury
264		c 2019-03-22
264	1	b BioMed Central,c 2019
338		a electronic2 rdacarrier
520		a Background: We aimed to develop a set of quality indicators for patients with traumatic brain injury (TBI) in intensive care units (ICUs) across Europe and to explore barriers and facilitators for implementation of these quality indicators.Methods: A preliminary list of 66 quality indicators was developed, based on current guidelines, existing practice variation, and clinical expertise in TBI management at the ICU. Eight TBI experts of the Advisory Committee preselected the quality indicators during a first Delphi round. A larger Europe-wide expert panel was recruited for the next two Delphi rounds. Quality indicator definitions were evaluated on four criteria: validity (better performance on the indicator reflects better processes of care and leads to better patient outcome), feasibility (data are available or easy to obtain), discriminability (variability in clinical practice), and actionability (professionals can act based on the indicator). Experts scored indicators on a 5-point Likert scale delivered by an electronic survey tool.Results. The expert panel consisted of 50 experts from 18 countries across Europe, mostly intensivists (N=24, 48%) and neurosurgeons (N=7, 14%). Experts agreed on a final set of 42 indicators to assess quality of ICU care: 17 structure indicators, 16 process indicators, and 9 outcome indicators. Experts are motivated to implement this finally proposed set (N=49, 98%) and indicated routine measurement in registries (N=41, 82%), benchmarking (N=42, 84%), and quality improvement programs (N=41, 82%) as future steps. Administrative burden was indicated as the most important barrier for implementation of the indicator set (N=48, 98%).Conclusions: This Delphi consensus study gives insight in which quality indicators have the potential to improve quality of TBI care at European ICUs. The proposed quality indicator set is recommended to be used across Europe for registry purposes to gain insight in current ICU practices and outcomes of patients with TBI. This indicator set may become an important tool to support benchmarking and quality improvement programs for patients with TBI in the future.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653		a Quality indicators
653		a Benchmarking
653		a Traumatic brain injury
653		a Intensive care unit
653		a Trauma registry
653		a Quality care
700	1	a Wiegers, Eveline J. A.4 aut
700	1	a de Keizer, Nicolette F.4 aut
700	1	a Maas, Andrew I. R.4 aut
700	1	a Menon, David4 aut
700	1	a Ercole, Ari4 aut
700	1	a Citerio, Giuseppe4 aut
700	1	a Lecky, Fiona4 aut
700	1	a Wilson, Lindsay4 aut
700	1	a Cnossen, Maryse C.4 aut
700	1	a Polinder, Suzanne4 aut
700	1	a Steyerberg, Ewout W.4 aut
700	1	a van der Jagt, Mathieu4 aut
700	1	a Lingsma, Hester F.4 aut
700	1	a Aries, Marcel4 aut
700	1	a Badenes, Rafael4 aut
700	1	a Beishuizen, Albertus4 aut
700	1	a Bilotta, Federico4 aut
700	1	a Chieregato, Arturo4 aut
700	1	a Cingolani, Emiliano4 aut
700	1	a Cnossen, Maryse4 aut
700	1	a Coburn, Mark4 aut
700	1	a Coles, Jonathan P.4 aut
700	1	a Delargy, Mark4 aut
700	1	a Depreitere, Bart4 aut
700	1	a Flaatten, Hans4 aut
700	1	a Golyk, Volodymyr4 aut
700	1	a Grauwmeijer, Erik4 aut
700	1	a Haitsma, Iain4 aut
700	1	a Helbok, Raimund4 aut
700	1	a Hoedemaekers, Cornelia4 aut
700	1	a Jacobs, Bram4 aut
700	1	a Jellema, Korne4 aut
700	1	a Koskinen, Lars-Owe D.u Umeå universitet,Klinisk neurovetenskap4 aut0 (Swepub:umu)lako0002
700	1	a Maegele, Marc4 aut
700	1	a Martin Delgado, Maria Cruz4 aut
700	1	a Moller, Kirsten4 aut
700	1	a Moreno, Rui4 aut
700	1	a Nelson, Davidu Karolinska Institutet4 aut
700	1	a Oldenbeuving, Annemarie W.4 aut
700	1	a Payen, Jean-Francois4 aut
700	1	a Pejakovic, Jasmina4 aut
700	1	a Ribbbers, Gerard M.4 aut
700	1	a Rossaint, Rolf4 aut
700	1	a Schoonman, Guus Geurt4 aut
700	1	a Steiner, Luzius A.4 aut
700	1	a Stocchetti, Nino4 aut
700	1	a Silvio, Fabio4 aut
700	1	a Takala, Riikka4 aut
700	1	a Tenovuo, Olli4 aut
700	1	a Valeinis, Eglis4 aut
700	1	a van den Bergh, Walter M.4 aut
700	1	a van Essen, Thomas4 aut
700	1	a van Leeuwen, Nikki4 aut
700	1	a Verhofstad, Michael H. J.4 aut
700	1	a Vos, Pieter E.4 aut
710	2	a Umeå universitetb Klinisk neurovetenskap4 org
773	0	t Critical Cared : BioMed Centralg 23q 23x 1364-8535x 1466-609X
856	4	u https://doi.org/10.1186/s13054-019-2377-xy Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1305582/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://doi.org/10.1186/s13054-019-2377-x
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157950
856	4 8	u https://doi.org/10.1186/s13054-019-2377-x
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:140566310

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Av författaren/redakt...: Huijben, Jilske ...; Wiegers, Eveline ...; de Keizer, Nicol ...; Maas, Andrew I. ...; Menon, David; Ercole, Ari; visa fler...; Citerio, Giusepp ...; Lecky, Fiona; Wilson, Lindsay; Cnossen, Maryse ...; Polinder, Suzann ...; Steyerberg, Ewou ...; van der Jagt, Ma ...; Lingsma, Hester ...; Aries, Marcel; Badenes, Rafael; Beishuizen, Albe ...; Bilotta, Federic ...; Chieregato, Artu ...; Cingolani, Emili ...; Cnossen, Maryse; Coburn, Mark; Coles, Jonathan ...; Delargy, Mark; Depreitere, Bart; Flaatten, Hans; Golyk, Volodymyr; Grauwmeijer, Eri ...; Haitsma, Iain; Helbok, Raimund; Hoedemaekers, Co ...; Jacobs, Bram; Jellema, Korne; Koskinen, Lars-O ...; Maegele, Marc; Martin Delgado, ...; Moller, Kirsten; Moreno, Rui; Nelson, David; Oldenbeuving, An ...; Payen, Jean-Fran ...; Pejakovic, Jasmi ...; Ribbbers, Gerard ...; Rossaint, Rolf; Schoonman, Guus ...; Steiner, Luzius ...; Stocchetti, Nino; Silvio, Fabio; Takala, Riikka; Tenovuo, Olli; Valeinis, Eglis; van den Bergh, W ...; van Essen, Thoma ...; van Leeuwen, Nik ...; Verhofstad, Mich ...; Vos, Pieter E.; visa färre...

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Av lärosätet: Umeå universitet; Karolinska Institutet

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