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[Emergency departments: pediatric quality indicators as guide to quality assurance]
Insights
Quality indicators help measure and improve pediatric emergency care. This study adapted existing indicators and created new ones, resulting in a comprehensive list for better quality assurance in pediatric emergency departments.
Area of Science:
- Emergency Medicine
- Pediatric Care
- Quality Assurance
Context:
- Measuring emergency department quality requires specific tools.
- The Catalan Society of Emergency Medicine (SCME) and Avedis Donabedian Foundation (FAD) developed quality indicators.
- Adapting these for pediatric emergencies is crucial.
Purpose:
- To review and adapt existing quality indicators for pediatric emergencies.
- To incorporate expert opinions and develop new indicators for pediatric emergency care.
- To establish a definitive list of quality indicators for pediatric emergency departments, serving as a reference for the Spanish Society of Pediatric Emergencies (SEUP).
Summary:
- A working group adapted 18 existing quality indicators and added 20 new ones for pediatric emergencies.
- The final document includes 89 indicators covering diseases, activities, and work areas.
- Twelve indicators were identified as essential for pediatric emergency departments.
Impact:
- The developed quality indicators provide valid, reliable, and objective data for assessing pediatric emergency care.
- These indicators serve as early warning signs for identifying areas needing improvement.
- The standardized criteria facilitate comparisons and enhance overall quality of care in pediatric emergency settings.
Introduction:
Measuring the quality of care in emergency departments requires tools to quantify the most important aspects in the care process. The quality indicator is the quantitative measure used in quality assurance.
Objectives:
To review the document created by the Catalan Society of Emergency Medicine (SCME) and the Avedis Donabedian Foundation (FAD) in which the quality indicators for the emergency departments were established and to incorporate their methodology and select the indicators that could be adapted to pediatric emergencies. To add new indicators that, in the opinion of experts in pediatric emergencies, could be useful in daily pediatric care. To agree on the definitive list of indicators for use in pediatric emergencies and to define those that will be considered the main indicators. To develop a document on behalf of the Spanish Society of Pediatric Emergencies (SEUP), which will serve as a reference in quality of care.
Material And Methods:
In the first stage, a Working Group of the SEUP was formed. The SCME/FAD paper was distributed after exclusion of the indicators that were not applicable to children. Each member adapted the indicators and proposed others. The Working Group then chose a set of indicators considered essential in any pediatric emergency department.
Results:
The final document has 89 indicators, each with the following parameters: dimension, justification, ratio, explanation of terms, population, type, sources of information, standard and comments. Depending on the content, they are classified in one of the following sections: diseases, activities and work areas. Eighteen indicators were adapted to the pediatric age group. Twenty new indicators were added and 12 were proposed as basic or essential.
Conclusions:
The quality indicators are useful in measuring concrete and specific aspects of clinical care and in providing information on quality. The indicators provide valid, reliable and objective information. The indicator is an early warning sign to identify areas requiring improvement and allows appropriate measures to be taken to correct the detected deficiencies. The use of indicators allows comparisons with uniform criteria to be made.
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