Sarah Livesay1, Herbert Fried2, David Gagnon3, Navaz Karanja4, Abhijit Lele5, Asma Moheet6, Casey Olm-Shipman7, Fabio Taccone8, David Tirschwell9, Wendy Wright10, J Claude Hemphill Iii11. 1. College of Nursing, Rush University, Chicago, IL, USA. Sarah_L_Livesay@rush.edu. 2. , Denver, CO, USA. 3. Maine Medical Center Department of Pharmacy, Portland, ME, USA. 4. Departments of Neurosciences and Anesthesiology, University of California-San Diego, San Diego, CA, USA. 5. Department of Anesthesiology and Pain Medicine, Neurocritical Care Service, Harborview Medical Center, University of Washington, Seattle, WA, USA. 6. OhioHealth Riverside Methodist Hospital, Columbus, OH, USA. 7. Department of Neurology, University of North Carolina, Chapel Hill, NC, USA. 8. Department of Intensive Care of Hospital Erasme, Brussels, Belgium. 9. Department of Neurology, University of Washington, Seattle, WA, USA. 10. Departments of Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA. 11. Department of Neurology, University of California, San Francisco, CA, USA.
Abstract
BACKGROUND: Performance measures are tools to measure the quality of clinical care. To date, there is no organized set of performance measures for neurocritical care. METHODS: The Neurocritical Care Society convened a multidisciplinary writing committee to develop performance measures relevant to neurocritical care delivery in the inpatient setting. A formal methodology was used that included systematic review of the medical literature for 13 major neurocritical care conditions, extraction of high-level recommendations from clinical practice guidelines, and development of a measurement specification form. RESULTS: A total of 50,257 citations were reviewed of which 150 contained strong recommendations deemed suitable for consideration as neurocritical care performance measures. Twenty-one measures were developed across nine different conditions and two neurocritical care processes of care. CONCLUSIONS: This is the first organized Neurocritical Care Performance Measure Set. Next steps should focus on field testing to refine measure criteria and assess implementation.
BACKGROUND: Performance measures are tools to measure the quality of clinical care. To date, there is no organized set of performance measures for neurocritical care. METHODS: The Neurocritical Care Society convened a multidisciplinary writing committee to develop performance measures relevant to neurocritical care delivery in the inpatient setting. A formal methodology was used that included systematic review of the medical literature for 13 major neurocritical care conditions, extraction of high-level recommendations from clinical practice guidelines, and development of a measurement specification form. RESULTS: A total of 50,257 citations were reviewed of which 150 contained strong recommendations deemed suitable for consideration as neurocritical care performance measures. Twenty-one measures were developed across nine different conditions and two neurocritical care processes of care. CONCLUSIONS: This is the first organized Neurocritical Care Performance Measure Set. Next steps should focus on field testing to refine measure criteria and assess implementation.
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