Huijben, Jilske A., Wiegers, Eveline J. A., de Keizer, Nicolette F., Maas, Andrew I. R., Menon, David, Ercole, Ari ORCID: 0000-0001-8350-8093, Citerio, Giuseppe ORCID: 0000-0002-5374-3161, Lecky, Fiona, Wilson, Lindsay ORCID: 0000-0003-4113-2328, Cnossen, Maryse C., Polinder, Suzanne, Steyerberg, Ewout W., van der Jagt, Mathieu, Lingsma, Hester F., Aries, Marcel, Badenes, Rafael ORCID: 0000-0001-7017-0150, Beishuizen, Albertus, Bilotta, Federico, Chieregato, Arturo, Cingolani, Emiliano, Cnossen, Maryse, Coburn, Mark, Coles, Jonathan P., Delargy, Mark, Depreitere, Bart ORCID: 0000-0002-7458-0648, Flaatten, Hans ORCID: 0000-0001-9186-3482, Golyk, Volodymyr, Grauwmeijer, Erik, Haitsma, Iain, Helbok, Raimund, Hoedemaekers, Cornelia, Jacobs, Bram, Jellema, Korne, Koskinen, Lars-Owe D., Maegele, Marc, Martin Delgado, Maria Cruz, Moller, Kirsten, Moreno, Rui, Nelson, David, Oldenbeuving, Annemarie W., Payen, Jean-Francois, Pejakovic, Jasmina, Ribbbers, Gerard M., Rossaint, Rolf, Schoonman, Guus Geurt, Steiner, Luzius A., Stocchetti, Nino, Silvio, Fabio, Takala, Riikka, Tenovuo, Olli, Valeinis, Eglis, van den Bergh, Walter M., van Essen, Thomas, van Leeuwen, Nikki, Verhofstad, Michael H. J. and Vos, Pieter E. (2019). Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury. Crit. Care, 23. LONDON: BMC. ISSN 1364-8535

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Abstract

BackgroundWe 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.MethodsA 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.ResultsThe 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%).ConclusionsThis 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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Huijben, Jilske A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiegers, Eveline J. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Keizer, Nicolette F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maas, Andrew I. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Menon, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ercole, AriUNSPECIFIEDorcid.org/0000-0001-8350-8093UNSPECIFIED
Citerio, GiuseppeUNSPECIFIEDorcid.org/0000-0002-5374-3161UNSPECIFIED
Lecky, FionaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wilson, LindsayUNSPECIFIEDorcid.org/0000-0003-4113-2328UNSPECIFIED
Cnossen, Maryse C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Polinder, SuzanneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steyerberg, Ewout W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van der Jagt, MathieuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lingsma, Hester F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aries, MarcelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Badenes, RafaelUNSPECIFIEDorcid.org/0000-0001-7017-0150UNSPECIFIED
Beishuizen, AlbertusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bilotta, FedericoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chieregato, ArturoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cingolani, EmilianoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cnossen, MaryseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Coburn, MarkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Coles, Jonathan P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Delargy, MarkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Depreitere, BartUNSPECIFIEDorcid.org/0000-0002-7458-0648UNSPECIFIED
Flaatten, HansUNSPECIFIEDorcid.org/0000-0001-9186-3482UNSPECIFIED
Golyk, VolodymyrUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grauwmeijer, ErikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haitsma, IainUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Helbok, RaimundUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoedemaekers, CorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jacobs, BramUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jellema, KorneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koskinen, Lars-Owe D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maegele, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Martin Delgado, Maria CruzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moller, KirstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moreno, RuiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nelson, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oldenbeuving, Annemarie W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Payen, Jean-FrancoisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pejakovic, JasminaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ribbbers, Gerard M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rossaint, RolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schoonman, Guus GeurtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steiner, Luzius A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stocchetti, NinoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Silvio, FabioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Takala, RiikkaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tenovuo, OlliUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Valeinis, EglisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van den Bergh, Walter M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Essen, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Leeuwen, NikkiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Verhofstad, Michael H. J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vos, Pieter E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-153462
DOI: 10.1186/s13054-019-2377-x
Journal or Publication Title: Crit. Care
Volume: 23
Date: 2019
Publisher: BMC
Place of Publication: LONDON
ISSN: 1364-8535
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
NEUROTRAUMA EFFECTIVENESS RESEARCH; OF-CARE; HOSPITAL-CARE; MANAGEMENT; ADHERENCE; VALIDITY; BENCHMARKING; GUIDELINES; CHILDREN; OUTCOMESMultiple languages
Critical Care MedicineMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15346

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