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Quality Standards for Allergen Immunotherapy Clinics in Spain: Consensus Document.

A I Tabar¹, B Núñez Acevedo², J M Beitia Mazuecos³

¹Allergy Department, Complejo Hospitalario de Navarra, Pamplona, Spain.

Journal of Investigational Allergology & Clinical Immunology

|September 18, 2018

Summary

This study established quality and safety standards for allergen immunotherapy clinics (AITCs) in Spain. It defined criteria for accrediting AITCs, ensuring consistent, high-quality patient care across diverse clinical settings.

Keywords:

Allergens Delphi Health care quality assurance Immunotherapy RAND/UCLA

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Area of Science:

Allergy and Immunology
Clinical Practice Guidelines
Healthcare Quality Improvement

Background:

Allergen immunotherapy clinics (AITCs) in Spain exhibit significant variability in structure, resources, and services.
A need exists to unify treatment criteria and establish quality standards, particularly for complex AITCs.

Purpose of the Study:

To develop recommendations for ensuring quality and safety in immunotherapy administration.
To define quality standards for accrediting highly complex AITCs.

Main Methods:

An initial online survey of 65 Spanish allergy departments/units was conducted in 2013.
A two-phase consensus process involved 10 experts using the RAND/UCLA Appropriateness method, followed by validation with 84 experts via a two-round Delphi consultation.

Main Results:

Consensus was achieved on minimum safety and quality criteria for allergen immunotherapy administration.
Two tiers of highly complex AITCs were defined: accredited AITCs and accredited AITCs with excellence.
Quality standards and accreditation criteria for both tiers were established.

Conclusions:

This pioneering project defined quality standards for AITCs using a combination of RAND/UCLA and Delphi methods.
Minimum standards for quality and safety in AIT administration were designed.
Quality criteria for AITC accreditation were developed with input from a broad expert panel from the Spanish Society of Allergology and Clinical Immunology.