An environmental scan of quality indicators in critical care.

An environmental scan of quality indicators in critical care. CMAJ Open. 2017 Jun 21;5(2):E488-E495 Authors: Valiani S, Rigal R, Stelfox HT, Muscedere J, Martin CM, Dodek P, Lamontagne F, Fowler R, Gheshmy A, Cook DJ, Forster AJ, Hébert PC Abstract BACKGROUND: We performed a directed environmental scan to identify and categorize quality indicators unique to critical care that are reported by key stakeholder organizations. METHODS: We convened a panel of experts (n = 9) to identify key organizations that are focused on quality improvement or critical care, and reviewed their online publications and website content for quality indicators. We identified quality indicators specific to the care of critically ill adult patients and then categorized them according to the Donabedian and the Institute of Medicine frameworks. We also noted the organizations' rationale for selecting these indicators and their reported evidence base. RESULTS: From 28 targeted organizations, we identified 222 quality indicators, 127 of which were unique. Of the 127 indicators, 63 (32.5%) were safety indicators and 61 (31.4%) were effectiveness indicators. The rationale for selecting quality indicators was supported by consensus for 58 (26.1%) of the 222 indicators and by published research evidence for 45 (20.3%); for 119 indicators (53.6%), the rationale was not reported or the reader was referred to other organizations' reports. Of the 127 uniq...
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Open Source Type: research