Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29280
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dc.contributor.authorHuijben, Jilskeen_UK
dc.contributor.authorWiegers, Evelineen_UK
dc.contributor.authorde Keizer, Nicoletteen_UK
dc.contributor.authorMaas, Andrewen_UK
dc.contributor.authorMenon, Daviden_UK
dc.contributor.authorErcole, Arien_UK
dc.contributor.authorCiterio, Giuseppeen_UK
dc.contributor.authorLecky, Fionaen_UK
dc.contributor.authorWilson, Lindsayen_UK
dc.contributor.authorCnossen, Maryseen_UK
dc.contributor.authorPolinder, Suzanneen_UK
dc.contributor.authorSteyerberg, Ewouten_UK
dc.contributor.authorvan der Jagt, Mathieuen_UK
dc.contributor.authorLingsma, Hesteren_UK
dc.date.accessioned2019-04-11T00:01:53Z-
dc.date.available2019-04-11T00:01:53Z-
dc.date.issued2019-03-22en_UK
dc.identifier.other95en_UK
dc.identifier.urihttp://hdl.handle.net/1893/29280-
dc.description.abstractBackground: We 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. Methods: A 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. Results: The 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%). Conclusions: This 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 futureen_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationHuijben J, Wiegers E, de Keizer N, Maas A, Menon D, Ercole A, Citerio G, Lecky F, Wilson L, Cnossen M, Polinder S, Steyerberg E, van der Jagt M & Lingsma H (2019) Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury. Critical Care, 23, Art. No.: 95. https://doi.org/10.1186/s13054-019-2377-xen_UK
dc.rights© The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectQuality indicatorsen_UK
dc.subjectBenchmarkingen_UK
dc.subjectTraumatic brain injuryen_UK
dc.subjectIntensive care uniten_UK
dc.subjectTrauma registryen_UK
dc.subjectQuality of careen_UK
dc.titleDevelopment of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injuryen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s13054-019-2377-xen_UK
dc.identifier.pmid30902117en_UK
dc.citation.jtitleCritical Careen_UK
dc.citation.issn1875-7081en_UK
dc.citation.issn1574-4280en_UK
dc.citation.volume23en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNational Institute for Health Researchen_UK
dc.citation.date22/03/2019en_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationUniversity of Amsterdamen_UK
dc.contributor.affiliationUniversity Hospital Antwerp, Belgiumen_UK
dc.contributor.affiliationCambridge University Hospitals NHSen_UK
dc.contributor.affiliationCambridge University Hospitals NHSen_UK
dc.contributor.affiliationUniversity of Milano Bicoccaen_UK
dc.contributor.affiliationUniversity of Sheffielden_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.contributor.affiliationErasmus MC Rotterdamen_UK
dc.identifier.isiWOS:000462208200002en_UK
dc.identifier.scopusid2-s2.0-85063356926en_UK
dc.identifier.wtid1265917en_UK
dc.contributor.orcid0000-0003-4113-2328en_UK
dc.date.accepted2019-02-26en_UK
dc.date.filedepositdate2019-04-09en_UK
Appears in Collections:Psychology Journal Articles

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