Development of quality of care indicators from systematic reviews : The case of hospital delivery
Bonfill, X. (Xavier) (Institut d'Investigació Biomèdica Sant Pau)
Roqué i Figuls, Marta (Institut d'Investigació Biomèdica Sant Pau)
Aller, Marta Beatriz (Consorci de Salut i Social de Catalunya)
Osorio, Dimelza (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Foradada, Carles (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Vives, Àngels (Consorci Sanitari de Terrassa)
Rigau, David (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública

Date:	2013
Abstract:	Background: The objective of this research is to generate quality of care indicators from systematic reviews to assess the appropriateness of obstetric care in hospitals. Methods: A search for systematic reviews about hospital obstetric interventions, conducted in The Cochrane Library, clinical evidence and practice guidelines, identified 303 reviews. We selected 48 high-quality evidence reviews, which resulted in strong clinical recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The 255 remaining reviews were excluded, mainly due to a lack of strong evidence provided by the studies reviewed. Results: A total of 18 indicators were formulated from these clinical recommendations, on antepartum care (8), care during delivery and postpartum (9), and incomplete miscarriage (1). Authors of the systematic reviews and specialists in obstetrics were consulted to refine the formulation of indicators. Conclusions: High-quality systematic reviews, whose conclusions clearly claim in favour or against an intervention, can be a source for generating quality indicators of delivery care. To make indicators coherent, the nuances of clinical practice should be considered. Any attempt made to evaluate the extent to which delivery care in hospitals is based on scientific evidence should take the generated indicators into account. © 2013 Bonfill et al. ; licensee BioMed Central Ltd.
Rights:	Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Evaluation methodology ; Evidence-based medicine ; Healthcare ; Obstetrics and gynaecology ; Quality improvement methodologies ; Quality indicators
Published in:	Implementation Science, Vol. 8 Núm. 1 (october 2013) , p. 42, ISSN 1748-5908

DOI: 10.1186/1748-5908-8-42
PMID: 23574918

10 p, 408.7 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles