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Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process
Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Research Center for Emergency Medicine, University of Aarhus, Aarhus, Denmark.
Research Center for Emergency Medicine, University of Aarhus, Aarhus, Denmark.
The Danish Clinical Registers, Aarhus, Denmark.
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2016 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 24, article id 11Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In 2013, Danish policy-makers on a nationwide level decided to set up a national quality of care database for hospital-based emergency care in Denmark including the selection of quality indicators. The aim of the study was to describe the Delphi process that contributed to the selection of quality indicators for a new national database of hospital-based emergency care in Denmark.

METHODS: The process comprised a literature review followed by a modified-Delphi survey process, involving a panel of 54 experts (senior clinicians, researchers and administrators from the emergency area and collaborating specialties). Based on the literature review, we identified 43 potential indicators, of which eight were time-critical conditions. We then consulted the Expert panel in two consecutive rounds. The Expert panel was asked to what extent each indicator would be a good measure of hospital-based emergency care in Denmark. In each round, the Expert panel participants scored each indicator on a Likert scale ranging from one (=disagree completely) through to six (=agree completely). Consensus for a quality indicator was reached if the median was greater than or equal to five (=agree). The Delphi process was followed by final selection by the steering group for the new database.

RESULTS: Following round two of the Expert panel, consensus was reached on 32 quality indicators, including three time-critical conditions. Subsequently, the database steering group chose a set of nine quality indicators for the initial version of the national database for hospital-based emergency care.

CONCLUSIONS: The two-round modified Delphi process contributed to the selection of an initial set of nine quality indicators for a new a national database for hospital-based emergency care in Denmark. Final selection was made by the database steering group informed by the Delphi process.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2016. Vol. 24, article id 11
Keyword [en]
Emergency in-hospital care, Delphi, Delphi technique, ED, Emergency department, Emergency medicine, Key indicator, Performance indicator, Performance measure, Time-critical condition, Quality measure, Quality indicator
National Category
Medical and Health Sciences Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-63491DOI: 10.1186/s13049-016-0203-xISI: 000370593400001PubMedID: 26843014Scopus ID: 2-s2.0-84956947311OAI: oai:DiVA.org:oru-63491DiVA, id: diva2:1168144
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Funding Agency:

Danish Clinical Registers

Available from: 2017-12-20 Created: 2017-12-20 Last updated: 2017-12-21Bibliographically approved

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Kurland, Lisa

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