OBJECTIVES: The Institute of Medicine (IOM) has recommended the development of national standards for the measurement of emergency care performance. The authors undertook this study with the goals of enumerating and categorizing existing performance measures relevant to pediatric emergency care. METHODS: Potential performance measures were identified through a survey of 1) the peer-reviewed literature, 2) websites of organizations and societies pertaining to quality improvement, and 3) emergency department (ED) directors. Performance measures were enumerated and categorized, using consensus methods, on three dimensions: 1) the IOM quality domains; 2) Donabedian's structure/process/outcome framework; and 3) general, cross-cutting, or disease-specific measures. RESULTS: A total of 405 performance measures were found for potential use for pediatric emergency care. When categorized by IOM domain, nearly half of the measures were related to effectiveness, while only 6% of measures addressed patient-centeredness. In the Donabedian dimension, 67% of measures were categorized as process measures, with 29% outcome and 4% structure measures. Finally, 31% of measures were general measures relevant to every ED visit. Although 225 measures (55%) were disease-specific, the majority (56%) of these measures related to only five common conditions. CONCLUSIONS: A wide range of performance measures relevant to pediatric emergency care are available. However, measures lack a systematic and comprehensive approach to evaluate the quality of care provided.
OBJECTIVES: The Institute of Medicine (IOM) has recommended the development of national standards for the measurement of emergency care performance. The authors undertook this study with the goals of enumerating and categorizing existing performance measures relevant to pediatric emergency care. METHODS: Potential performance measures were identified through a survey of 1) the peer-reviewed literature, 2) websites of organizations and societies pertaining to quality improvement, and 3) emergency department (ED) directors. Performance measures were enumerated and categorized, using consensus methods, on three dimensions: 1) the IOM quality domains; 2) Donabedian's structure/process/outcome framework; and 3) general, cross-cutting, or disease-specific measures. RESULTS: A total of 405 performance measures were found for potential use for pediatric emergency care. When categorized by IOM domain, nearly half of the measures were related to effectiveness, while only 6% of measures addressed patient-centeredness. In the Donabedian dimension, 67% of measures were categorized as process measures, with 29% outcome and 4% structure measures. Finally, 31% of measures were general measures relevant to every ED visit. Although 225 measures (55%) were disease-specific, the majority (56%) of these measures related to only five common conditions. CONCLUSIONS: A wide range of performance measures relevant to pediatric emergency care are available. However, measures lack a systematic and comprehensive approach to evaluate the quality of care provided.
Authors: Tiffani J Johnson; Matthew D Weaver; Sonya Borrero; Esa M Davis; Larissa Myaskovsky; Noel S Zuckerbraun; Kevin L Kraemer Journal: Pediatrics Date: 2013-09-23 Impact factor: 7.124
Authors: Jennifer A Hoffmann; Julie K Johnson; Alba Pergjika; Elizabeth R Alpern; Jacqueline B Corboy Journal: J Healthc Qual Date: 2022-01-21 Impact factor: 1.028
Authors: Janet A Curran; Andrea Murphy; Mandi Newton; Roger Zemek; Lisa Hartling; Amy Plint; Jill Chorney; Shannon MacPhee; Samuel G Campbell; Mona Jabbour; Darlene Boliver; David Petrie; Randy Colwell; Kate MacWilliams; Alicia Nolan Journal: Syst Rev Date: 2014-03-14
Authors: Manuel Rocha Melo; Manuel Ferreira-Magalhães; Filipa Flor-Lima; Mariana Rodrigues; Milton Severo; Luis Almeida-Santos; Alberto Caldas-Afonso; Pedro Pita Barros; António Ferreira Journal: PLoS One Date: 2016-08-26 Impact factor: 3.240