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© Madsen et al. 2016. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

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.

Details

Title
Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process
Author
Madsen, Michael Moesmann 1 ; Eiset, Andreas Halgreen 2 ; Mackenhauer, Julie 2 ; Odby, Annette 3 ; Christiansen, Christian Fynbo 4 ; Kurland, Lisa 5 ; Kirkegaard, Hans 2 

 University of Copenhagen, Rigshospitalet, Copenhagen, Denmark (GRID:grid.5254.6) (ISNI:000000010674042X) 
 University of Aarhus, Research Center for Emergency Medicine, Aarhus, Denmark (GRID:grid.7048.b) (ISNI:0000000119562722) 
 The Danish Clinical Registers, Aarhus, Denmark (GRID:grid.7048.b) 
 Aarhus University Hospital, Department of Clinical Epidemiology, Aarhus, Denmark (GRID:grid.154185.c) (ISNI:000000040512597X) 
 Karolinska Institutet, Department of Clinical Research and Education, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000000419370626); Södersjukhuset, Department of EM, Stockholm, Sweden (GRID:grid.415048.c) (ISNI:0000000089862221) 
Pages
11
Publication year
2016
Publication date
Dec 2016
Publisher
Springer Nature B.V.
ISSN
17577241
e-ISSN
15007480
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2788453941
Copyright
© Madsen et al. 2016. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.