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A Delphi study to identify performance indicators for emergency medicine.

ABSTRACT: OBJECTIVES:The aim of this study was to identify performance indicators thought to reflect the quality of patient care in the emergency department. METHODS:A three round accelerated Expert Delphi study was conducted by email or fax. A panel of 33 experts drawn from the fields of emergency medicine, emergency nursing, professional service users, and patients were consulted. Participants were initially asked to propose performance indicators that reflected the quality of care given in the emergency department setting in the United Kingdom. In the second round these proposals were collated and scored using a 9 point Likert scale; those that had not reached consensus were returned for reconsideration in the light of group opinion. Those statements reaching a pre-defined consensus were identified. RESULTS:224 performance indicators were proposed. Altogether 36 indicators reached consensus reflecting good departmental performance after round three; 24 of these were process measures. CONCLUSIONS:36 potential indicators of good quality of care in the emergency department in the UK have been identified.

SUBMITTER: Beattie E

PROVIDER: S-EPMC1756339 | biostudies-literature | 2004 Jan

REPOSITORIES: biostudies-literature

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A Delphi study to identify performance indicators for emergency medicine.

Beattie E E Mackway-Jones K K

Emergency medicine journal : EMJ 20040101 1

<h4>Objectives</h4>The aim of this study was to identify performance indicators thought to reflect the quality of patient care in the emergency department.<h4>Methods</h4>A three round accelerated Expert Delphi study was conducted by email or fax. A panel of 33 experts drawn from the fields of emergency medicine, emergency nursing, professional service users, and patients were consulted. Participants were initially asked to propose performance indicators that reflected the quality of care given ...[more]

PMID: 14734375

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Project description:ObjectivesEmergency medicine (EM) trainees are expected to learn to provide acute care for patients of all ages. The American Council for Graduate Medical Education provides some guidance on topics related to caring for pediatric patients; however, education about pediatric topics varies across residency programs. The goal of this project was to develop a consensus curriculum for teaching pediatric emergency care.MethodsWe recruited 13 physicians from six academic health centers to participate in a three-round electronic modified Delphi project. Participants were selected on the basis of expertise with both EM resident education and pediatric emergency care. The first modified Delphi survey asked participants to generate the core knowledge, skills, and experiences needed to prepare EM residents to effectively treat children in an acute care setting. The qualitative data from the first round was reformulated into a second-round questionnaire. During the second round, participants used rating scales to prioritize the curriculum content proposed during the first round. In round 3, participants were asked to make a determination about each curriculum topic using a three-point scale labeled required, optional, or not needed.ResultsThe first modified Delphi round yielded 400 knowledge topics, 206 clinical skills, and 44 specific types of experience residents need to prepare for acute pediatric patient care. These were narrowed to 153 topics, 84 skills, and 28 experiences through elimination of redundancy and two rounds of prioritization. The final lists contain topics classified by highly recommended, partially recommended, and not recommended. The partially recommended category is intended to help programs tailor their curriculum to the unique needs of their learners as well as account for variability between 3- and 4-year programs and the amount of time programs allocate to pediatric education.ConclusionThe modified Delphi process yielded the broad outline of a consensus core pediatric emergency care curriculum.

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A Delphi study to identify performance indicators for emergency medicine.

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A Delphi study to identify performance indicators for emergency medicine.

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