AIM: In this article, the authors discuss a multiphase approach for developing quality indicators based on pain practice guidelines, and the challenges associated with the process. The presentation is based on previously published reporting standards for guideline-based quality indicators. METHODS: The following steps of the indicator development process were undertaken: topic selection; guideline selection; extraction of recommendations; quality indicator selection and practice test. RESULTS: Eleven practice guidelines were reviewed for quality, and three high-quality guidelines were compared for pertinent recommendations. From these three guidelines, 12 recommendations were extracted and judged appropriate to examine the practice gap for nursing students and clinicians on an oncology and palliative care unit. Quality indicators were then identified by a consensus process, resulting in 24 discrete indicators that were included in the practice test. CONCLUSION: Quality indicators can be used to examine gaps in pain management practice, and to evaluate change after guideline implementation. However, their development can be challenging, and guideline developers could facilitate uptake of guidelines by including clear, relevant quality indicators as part of guideline creation and presentation.
AIM: In this article, the authors discuss a multiphase approach for developing quality indicators based on pain practice guidelines, and the challenges associated with the process. The presentation is based on previously published reporting standards for guideline-based quality indicators. METHODS: The following steps of the indicator development process were undertaken: topic selection; guideline selection; extraction of recommendations; quality indicator selection and practice test. RESULTS: Eleven practice guidelines were reviewed for quality, and three high-quality guidelines were compared for pertinent recommendations. From these three guidelines, 12 recommendations were extracted and judged appropriate to examine the practice gap for nursing students and clinicians on an oncology and palliative care unit. Quality indicators were then identified by a consensus process, resulting in 24 discrete indicators that were included in the practice test. CONCLUSION: Quality indicators can be used to examine gaps in pain management practice, and to evaluate change after guideline implementation. However, their development can be challenging, and guideline developers could facilitate uptake of guidelines by including clear, relevant quality indicators as part of guideline creation and presentation.
Authors: Concepción Pérez; Jimmy Martin-Delgado; Mercedes Vinuesa; Pedro J Ibor; Mercedes Guilabert; José Gomez; Carmen Beato; Juana Sánchez-Jiménez; Ignacio Velázquez; Claudio Calvo-Espinos; María L Cánovas; José A Yáñez; Mireia Rodríguez; José L Baquero; Elisa Gallach; Emma Folch; Albert Tuca; Manel Santiña; José J Mira Journal: J Pers Med Date: 2021-02-05
Authors: Miranda W Langendam; Thomas Piggott; Monika Nothacker; Arnav Agarwal; David Armstrong; Tejan Baldeh; Jeffrey Braithwaite; Carolina Castro Martins; Andrea Darzi; Itziar Etxeandia; Ivan Florez; Jan Hoving; Samer G Karam; Thomas Kötter; Joerg J Meerpohl; Reem A Mustafa; Giovanna E U Muti-Schünemann; Philip J van der Wees; Markus Follmann; Holger J Schünemann Journal: BMC Health Serv Res Date: 2020-09-16 Impact factor: 2.655