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Published on: August 4, 2021
Development of guideline-based quality indicators for recurrent miscarriage.
E van den Boogaard1, M Goddijn, N J Leschot
1Centre for Reproductive Medicine, Department of Obstetrics and Gynaecology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. e.vandenboogaard@amc.uva.nl
Reproductive Biomedicine Online
|February 2, 2010
Summary
This study developed 23 quality indicators for recurrent miscarriage (RM) care. All consensus-based recommendations were accepted, highlighting their importance for gynecologists in clinical practice.
Area of Science:
- Reproductive Medicine
- Clinical Quality Improvement
Background:
- Recurrent miscarriage (RM) is a complex clinical issue.
- Evidence-based guidelines exist, but adherence monitoring is needed.
- Quality indicators are essential for assessing care in RM patients.
Purpose of the Study:
- To develop valid quality indicators for recurrent miscarriage (RM) care.
- To assess the relationship between guideline evidence level and indicator acceptance.
Main Methods:
- Utilized the RAND-modified Delphi method with 11 gynecologist experts.
- Appraised recommendations from the Dutch guideline on RM.
- Selected 23 key recommendations covering diagnostics, lifestyle, therapy, and counseling.
Main Results:
- A set of 23 quality indicators for RM care was generated.
- All Level A (high) and Level D (consensus) recommendations were accepted as indicators.
- Acceptance rates were 64% for Level B and 22% for Level C recommendations.
Conclusions:
- The study successfully created 23 quality indicators for recurrent miscarriage (RM) management.
- The acceptance of all consensus-based recommendations underscores their clinical significance.
- These indicators can help measure and improve the quality of care for couples experiencing RM.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
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