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A Delphi study to identify performance indicators for emergency medicine
1Accident and Emergency Department, St Mary's Hospital, London, UK. ebeattie1@yahoo.com
Emergency Medicine Journal : EMJ
|January 22, 2004
Summary
This study identified 36 key performance indicators for emergency department quality in the UK. These indicators will help assess and improve patient care standards.
Area of Science:
- Healthcare Quality Improvement
- Emergency Medicine Performance Measurement
- Patient Care Standards
Background:
- Assessing emergency department (ED) quality is crucial for patient outcomes.
- A need exists for standardized performance indicators in UK EDs.
Framework:
- A modified Delphi technique was employed to achieve expert consensus.
- The study involved 33 experts from emergency medicine, nursing, and patient advocacy groups.
Implementation:
- Experts proposed 224 initial performance indicators.
- A three-round Delphi process refined indicators, utilizing a 9-point Likert scale for consensus.
- Consensus was reached on 36 indicators reflecting good ED performance.
Implications:
- The identified 36 indicators provide a framework for evaluating ED quality in the UK.
- 24 of the consensus indicators are process measures, offering actionable insights for improvement.
- This work supports evidence-based quality assessment in emergency healthcare settings.