Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process
Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children. Our goal was to use a systematic process to develop measures of emergency de...
Gespeichert in:
| Veröffentlicht in: | Pediatrics (Evanston) 2006-07, Vol.118 (1), p.114-123 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 123 |
|---|---|
| container_issue | 1 |
| container_start_page | 114 |
| container_title | Pediatrics (Evanston) |
| container_volume | 118 |
| creator | Guttmann, Astrid Razzaq, Asma Lindsay, Patty Zagorski, Brandon Anderson, Geoffrey M |
| description | Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children.
Our goal was to use a systematic process to develop measures of emergency department care for children (0-19 years) that are (1) based on research evidence and expert opinion, (2) representative of a range of conditions treated in most emergency departments, (3) related to links between processes and outcomes, and (4) feasible to measure.
We presented a panel of providers and managers data from emergency department use to identify common conditions across levels of patient acuity, which could be targets for quality improvement. We used a structured panel process informed by a literature review to (1) identify condition-specific links between processes of care and defined outcomes and (2) select indicators to assess these process-outcome links. We determined the feasibility of calculating these indicators using an administrative data set of emergency department visits for Ontario, Canada.
The panel identified 18 clinical conditions for indicator development and 61 condition-specific links between processes of care and outcomes. After 2 rounds of ratings, the panel defined 68 specific clinical indicators for the following conditions: adolescent mental health problems, ankle injury, asthma, bronchiolitis, croup, diabetes, fever, gastroenteritis, minor head injury, neonatal jaundice, seizures, and urinary tract infections. Visits for these conditions account for 23% of all pediatric emergency department use. Using an administrative data set, we were able to calculate 19 indicators, covering 9 conditions, representing 20% of all emergency department visits by children.
Using a structured panel process, data on emergency department use, and literature review, it was possible to define indicators of emergency department care for children. The feasibility of these indicators will depend on the availability of high-quality data. |
| doi_str_mv | 10.1542/peds.2005-3029 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_68606098</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A148480085</galeid><sourcerecordid>A148480085</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-ae52f95e309719e91272cdc428dba9f77587743e7ed84986e184f8d310bff02c3</originalsourceid><addsrcrecordid>eNptks9v0zAcxSMEYmVw5YgsDpM4pNiOnTjHqRsDqWhDsLPlOl-nnpy4sx2g_z0OqzSGKh_86_Oevnp6RfGW4CXhjH7cQReXFGNeVpi2z4oFwa0oGW3482KBcUVKlj9Pilcx3mGMGW_oy-KE1IIIzutFcX8BP8H53QBjQt6gr6DiFCDO57QF9G1Szqb9fL0cIPQw6j26gJ0K6a9kpQIg4wNaba3rAozoNtqxRwp9T2HSKXt16EaN4NBN8BpifF28MMpFeHPYT4vbT5c_Vp_L9fXVl9X5utQci1Qq4NS0HCrcNqSFltCG6k4zKrqNak3TcNE0rIIGOsFaUQMRzIiuInhjDKa6Oi3OHnx3wd9PEJMcbNTgXB7GT1HWosZ1DiuD7_8D7_wUxjybpFRUOSpKMlQ-QL1yIO1ofApK5zggKOdHMDY_nxMmmMBY8Mwvj_B5dTBYfVTw4YkgMwl-p15NMUpxtX7KlsdY7Z2DHmSOcXV9dBgdfIwBjNwFO6iwlwTLuUZyrpGcayTnGmXBu0Mk02aA7hE_9ObRcWv77S8bYHawKgWr4z9HQoQkkhBW_QG1hdDo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228368121</pqid></control><display><type>article</type><title>Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Guttmann, Astrid ; Razzaq, Asma ; Lindsay, Patty ; Zagorski, Brandon ; Anderson, Geoffrey M</creator><creatorcontrib>Guttmann, Astrid ; Razzaq, Asma ; Lindsay, Patty ; Zagorski, Brandon ; Anderson, Geoffrey M</creatorcontrib><description>Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children.
Our goal was to use a systematic process to develop measures of emergency department care for children (0-19 years) that are (1) based on research evidence and expert opinion, (2) representative of a range of conditions treated in most emergency departments, (3) related to links between processes and outcomes, and (4) feasible to measure.
We presented a panel of providers and managers data from emergency department use to identify common conditions across levels of patient acuity, which could be targets for quality improvement. We used a structured panel process informed by a literature review to (1) identify condition-specific links between processes of care and defined outcomes and (2) select indicators to assess these process-outcome links. We determined the feasibility of calculating these indicators using an administrative data set of emergency department visits for Ontario, Canada.
The panel identified 18 clinical conditions for indicator development and 61 condition-specific links between processes of care and outcomes. After 2 rounds of ratings, the panel defined 68 specific clinical indicators for the following conditions: adolescent mental health problems, ankle injury, asthma, bronchiolitis, croup, diabetes, fever, gastroenteritis, minor head injury, neonatal jaundice, seizures, and urinary tract infections. Visits for these conditions account for 23% of all pediatric emergency department use. Using an administrative data set, we were able to calculate 19 indicators, covering 9 conditions, representing 20% of all emergency department visits by children.
Using a structured panel process, data on emergency department use, and literature review, it was possible to define indicators of emergency department care for children. The feasibility of these indicators will depend on the availability of high-quality data.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2005-3029</identifier><identifier>PMID: 16818556</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: Am Acad Pediatrics</publisher><subject>Adolescent ; Ankle Injuries - epidemiology ; Asthma - epidemiology ; Bronchiolitis - epidemiology ; Case studies ; Child ; Child, Preschool ; Children & youth ; Consensus ; Delphi Technique ; Diabetes Mellitus - epidemiology ; Emergency medical services ; Emergency nursing ; Emergency Service, Hospital - standards ; Emergency Service, Hospital - utilization ; Emergency services ; Female ; Gastroenteritis - epidemiology ; Health care delivery ; Humans ; Infant ; Male ; Ontario ; Outcome and Process Assessment (Health Care) ; Pediatrics ; Performance evaluation ; Quality Indicators, Health Care ; Quality management ; Quality of service ; Urinary Tract Infections - epidemiology</subject><ispartof>Pediatrics (Evanston), 2006-07, Vol.118 (1), p.114-123</ispartof><rights>COPYRIGHT 2006 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Jul 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-ae52f95e309719e91272cdc428dba9f77587743e7ed84986e184f8d310bff02c3</citedby><cites>FETCH-LOGICAL-c508t-ae52f95e309719e91272cdc428dba9f77587743e7ed84986e184f8d310bff02c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16818556$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guttmann, Astrid</creatorcontrib><creatorcontrib>Razzaq, Asma</creatorcontrib><creatorcontrib>Lindsay, Patty</creatorcontrib><creatorcontrib>Zagorski, Brandon</creatorcontrib><creatorcontrib>Anderson, Geoffrey M</creatorcontrib><title>Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children.
Our goal was to use a systematic process to develop measures of emergency department care for children (0-19 years) that are (1) based on research evidence and expert opinion, (2) representative of a range of conditions treated in most emergency departments, (3) related to links between processes and outcomes, and (4) feasible to measure.
We presented a panel of providers and managers data from emergency department use to identify common conditions across levels of patient acuity, which could be targets for quality improvement. We used a structured panel process informed by a literature review to (1) identify condition-specific links between processes of care and defined outcomes and (2) select indicators to assess these process-outcome links. We determined the feasibility of calculating these indicators using an administrative data set of emergency department visits for Ontario, Canada.
The panel identified 18 clinical conditions for indicator development and 61 condition-specific links between processes of care and outcomes. After 2 rounds of ratings, the panel defined 68 specific clinical indicators for the following conditions: adolescent mental health problems, ankle injury, asthma, bronchiolitis, croup, diabetes, fever, gastroenteritis, minor head injury, neonatal jaundice, seizures, and urinary tract infections. Visits for these conditions account for 23% of all pediatric emergency department use. Using an administrative data set, we were able to calculate 19 indicators, covering 9 conditions, representing 20% of all emergency department visits by children.
Using a structured panel process, data on emergency department use, and literature review, it was possible to define indicators of emergency department care for children. The feasibility of these indicators will depend on the availability of high-quality data.</description><subject>Adolescent</subject><subject>Ankle Injuries - epidemiology</subject><subject>Asthma - epidemiology</subject><subject>Bronchiolitis - epidemiology</subject><subject>Case studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Consensus</subject><subject>Delphi Technique</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Emergency medical services</subject><subject>Emergency nursing</subject><subject>Emergency Service, Hospital - standards</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Emergency services</subject><subject>Female</subject><subject>Gastroenteritis - epidemiology</subject><subject>Health care delivery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Ontario</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Pediatrics</subject><subject>Performance evaluation</subject><subject>Quality Indicators, Health Care</subject><subject>Quality management</subject><subject>Quality of service</subject><subject>Urinary Tract Infections - epidemiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptks9v0zAcxSMEYmVw5YgsDpM4pNiOnTjHqRsDqWhDsLPlOl-nnpy4sx2g_z0OqzSGKh_86_Oevnp6RfGW4CXhjH7cQReXFGNeVpi2z4oFwa0oGW3482KBcUVKlj9Pilcx3mGMGW_oy-KE1IIIzutFcX8BP8H53QBjQt6gr6DiFCDO57QF9G1Szqb9fL0cIPQw6j26gJ0K6a9kpQIg4wNaba3rAozoNtqxRwp9T2HSKXt16EaN4NBN8BpifF28MMpFeHPYT4vbT5c_Vp_L9fXVl9X5utQci1Qq4NS0HCrcNqSFltCG6k4zKrqNak3TcNE0rIIGOsFaUQMRzIiuInhjDKa6Oi3OHnx3wd9PEJMcbNTgXB7GT1HWosZ1DiuD7_8D7_wUxjybpFRUOSpKMlQ-QL1yIO1ofApK5zggKOdHMDY_nxMmmMBY8Mwvj_B5dTBYfVTw4YkgMwl-p15NMUpxtX7KlsdY7Z2DHmSOcXV9dBgdfIwBjNwFO6iwlwTLuUZyrpGcayTnGmXBu0Mk02aA7hE_9ObRcWv77S8bYHawKgWr4z9HQoQkkhBW_QG1hdDo</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Guttmann, Astrid</creator><creator>Razzaq, Asma</creator><creator>Lindsay, Patty</creator><creator>Zagorski, Brandon</creator><creator>Anderson, Geoffrey M</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process</title><author>Guttmann, Astrid ; Razzaq, Asma ; Lindsay, Patty ; Zagorski, Brandon ; Anderson, Geoffrey M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-ae52f95e309719e91272cdc428dba9f77587743e7ed84986e184f8d310bff02c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Ankle Injuries - epidemiology</topic><topic>Asthma - epidemiology</topic><topic>Bronchiolitis - epidemiology</topic><topic>Case studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Consensus</topic><topic>Delphi Technique</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Emergency medical services</topic><topic>Emergency nursing</topic><topic>Emergency Service, Hospital - standards</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Emergency services</topic><topic>Female</topic><topic>Gastroenteritis - epidemiology</topic><topic>Health care delivery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Ontario</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Pediatrics</topic><topic>Performance evaluation</topic><topic>Quality Indicators, Health Care</topic><topic>Quality management</topic><topic>Quality of service</topic><topic>Urinary Tract Infections - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guttmann, Astrid</creatorcontrib><creatorcontrib>Razzaq, Asma</creatorcontrib><creatorcontrib>Lindsay, Patty</creatorcontrib><creatorcontrib>Zagorski, Brandon</creatorcontrib><creatorcontrib>Anderson, Geoffrey M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guttmann, Astrid</au><au>Razzaq, Asma</au><au>Lindsay, Patty</au><au>Zagorski, Brandon</au><au>Anderson, Geoffrey M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>118</volume><issue>1</issue><spage>114</spage><epage>123</epage><pages>114-123</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children.
Our goal was to use a systematic process to develop measures of emergency department care for children (0-19 years) that are (1) based on research evidence and expert opinion, (2) representative of a range of conditions treated in most emergency departments, (3) related to links between processes and outcomes, and (4) feasible to measure.
We presented a panel of providers and managers data from emergency department use to identify common conditions across levels of patient acuity, which could be targets for quality improvement. We used a structured panel process informed by a literature review to (1) identify condition-specific links between processes of care and defined outcomes and (2) select indicators to assess these process-outcome links. We determined the feasibility of calculating these indicators using an administrative data set of emergency department visits for Ontario, Canada.
The panel identified 18 clinical conditions for indicator development and 61 condition-specific links between processes of care and outcomes. After 2 rounds of ratings, the panel defined 68 specific clinical indicators for the following conditions: adolescent mental health problems, ankle injury, asthma, bronchiolitis, croup, diabetes, fever, gastroenteritis, minor head injury, neonatal jaundice, seizures, and urinary tract infections. Visits for these conditions account for 23% of all pediatric emergency department use. Using an administrative data set, we were able to calculate 19 indicators, covering 9 conditions, representing 20% of all emergency department visits by children.
Using a structured panel process, data on emergency department use, and literature review, it was possible to define indicators of emergency department care for children. The feasibility of these indicators will depend on the availability of high-quality data.</abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>16818556</pmid><doi>10.1542/peds.2005-3029</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2006-07, Vol.118 (1), p.114-123 |
| issn | 0031-4005 1098-4275 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68606098 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Ankle Injuries - epidemiology Asthma - epidemiology Bronchiolitis - epidemiology Case studies Child Child, Preschool Children & youth Consensus Delphi Technique Diabetes Mellitus - epidemiology Emergency medical services Emergency nursing Emergency Service, Hospital - standards Emergency Service, Hospital - utilization Emergency services Female Gastroenteritis - epidemiology Health care delivery Humans Infant Male Ontario Outcome and Process Assessment (Health Care) Pediatrics Performance evaluation Quality Indicators, Health Care Quality management Quality of service Urinary Tract Infections - epidemiology |
| title | Development of Measures of the Quality of Emergency Department Care for Children Using a Structured Panel Process |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T08%3A07%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Development%20of%20Measures%20of%20the%20Quality%20of%20Emergency%20Department%20Care%20for%20Children%20Using%20a%20Structured%20Panel%20Process&rft.jtitle=Pediatrics%20(Evanston)&rft.au=Guttmann,%20Astrid&rft.date=2006-07-01&rft.volume=118&rft.issue=1&rft.spage=114&rft.epage=123&rft.pages=114-123&rft.issn=0031-4005&rft.eissn=1098-4275&rft.coden=PEDIAU&rft_id=info:doi/10.1542/peds.2005-3029&rft_dat=%3Cgale_proqu%3EA148480085%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=228368121&rft_id=info:pmid/16818556&rft_galeid=A148480085&rfr_iscdi=true |