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Methods for the guideline-based development of quality indicators--a systematic review
Thomas Kötter1, Eva Blozik, Martin Scherer
1Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. t.koetter@uke.de
Implementation Science : IS
|March 23, 2012
Summary
Developing high-quality healthcare quality indicators (QIs) requires robust methods. This review identifies and compares approaches for guideline-based QI development, finding no established gold standard.
Area of Science:
- Healthcare Quality Improvement
- Clinical Practice Guidelines
- Methodology Research
Background:
- Quality indicators (QIs) are essential for measuring and improving healthcare.
- Rigorous methods are needed for efficient, high-quality QI development.
- Clinical practice guidelines offer a source for QI derivation, but a gold standard is lacking.
Purpose of the Study:
- To identify, describe, and compare methodological approaches for developing QIs from clinical practice guidelines.
Main Methods:
- Systematic literature search of medical and grey literature databases.
- Selection of publications detailing guideline-based QI development methodologies.
- Extraction and comparison of information on key QI development steps.
Main Results:
- 48 relevant references were identified from over 8,000 initial hits.
- Heterogeneous study types and quality were observed, with no comparative studies on QI generation.
- Varied approaches exist for guideline selection and recommendation extraction; patient involvement was rarely reported.
Conclusions:
- Further research is necessary to establish a gold standard for guideline-based QI development.
- This review provides a foundational groundwork for future research in this area.
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