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Validating quality standards in Palestinian emergency departments: An e-Delphi survey approach.
Abed Alr'oof Bani Odeh1, Lee Wallis1, Motasem Hamdan2
1Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa.
Plos One
|January 10, 2025
Summary
This study validated 100 emergency department quality standards in Palestine using an e-Delphi survey. High consensus (over 97%) was achieved, affirming commitment to quality emergency care.
Area of Science:
- Healthcare Quality Improvement
- Public Health Policy
- Emergency Medicine
Background:
- Developing and validating quality standards is crucial for effective emergency healthcare.
- Previous research established preliminary emergency department quality standards (EDQS) in Palestine.
- Context-specific standards are needed to address unique healthcare challenges.
Purpose of the Study:
- To validate previously derived emergency department quality standards (EDQS) in Palestine.
- To achieve expert consensus on the readability, clarity, and comprehensiveness of EDQS.
- To refine and confirm a set of validated EDQS for emergency departments in Palestine.
Main Methods:
- A two-round e-Delphi survey was employed for validation.
- Purposive sampling identified 53 experienced emergency medicine and healthcare quality experts.
- Data were collected anonymously using Lime Survey, with Likert scales and feedback for consensus building.
Main Results:
- A set of 100 emergency department quality standards (EDQS) was validated with high consensus (>97%).
- The validated standards comprised 39 clinical pathway and 61 administrative pathway standards.
- Seven clinical and nine administrative subdomains of EDQS were identified and confirmed.
Conclusions:
- The study successfully validated context-specific EDQS for Palestinian emergency departments, demonstrating strong expert agreement.
- The validated standards provide a framework for improving emergency care quality, resource allocation, and staff training.
- Further research is recommended to explore the implementation feasibility of these validated standards.
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