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Linking clinical quality indicators to research evidence - a case study in asthma management for children

Miew Keen Choong1, Guy Tsafnat1, Peter Hibbert2

  • 1Centre for Health Informatics, Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.

BMC Health Services Research
|July 23, 2017
PubMed

Insights

Most clinical quality indicators for pediatric asthma management are supported by research evidence from randomized controlled trials (RCTs). This study links 95% of indicators to RCT outcomes, supporting evidence-based healthcare quality assessment.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Evidence-Based Medicine

Background:

  • Clinical quality indicators (CQIs) are crucial for monitoring healthcare performance.
  • A knowledge gap exists regarding the research evidence base for commonly used CQIs.
  • This study addresses the extent to which pediatric asthma CQIs align with research findings.

Purpose of the Study:

  • To quantify the link between pediatric asthma management CQIs and outcomes reported in randomized controlled trials (RCTs).
  • To inform methods for improving the efficiency and accuracy of CQI development.
  • To ensure that asthma care quality metrics are grounded in scientific evidence.

Main Methods:

  • Extracted national-level pediatric asthma indicators from databases like the National Quality Measures Clearinghouse.
  • Collected outcome measures from English-language RCT reports on pediatric asthma (2005-2014).
  • Mapped indicators and RCT outcomes to Unified Medical Language System (UMLS) concepts for linkage.

Main Results:

  • Identified 39 pediatric asthma management indicators and 562 relevant RCTs.
  • Established a link between approximately 95% (37/39) of the indicators and RCT outcome measures.
  • Demonstrated a strong connection between clinical quality indicators and research evidence in this field.

Conclusions:

  • A significant majority of pediatric asthma quality indicators can be traced back to relevant RCT evidence.
  • The developed methodology offers a scalable approach for assessing new indicators against research.
  • This supports the use of evidence-based practices in pediatric asthma quality assessment and improvement.
Abstract

Keywords:
AsthmaChildOutcome measuresQuality indicatorsRandomised controlled trial

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