TY - JOUR
T1 - Quality Measurement in Neonatal Surgical Disorders
T2 - Development of Clinical Indicators
AU - van Heurn, Ernest
AU - de Blaauw, Ivo
AU - Heij, Hugo
AU - Wijnen, Marc
AU - Wijnen, Rene
AU - Hulscher, Jan
AU - van der Zee, David
N1 - Georg Thieme Verlag KG Stuttgart · New York.
PY - 2015/12
Y1 - 2015/12
N2 - OBJECTIVE: This study aims to develop a set of quality indicators for the measurement of the quality of surgical care for neonates with surgical disorders.METHODS: An expert panel of the Netherlands Association of Pediatric Surgeons developed internal (clinical) indicators for neonatal surgery. This included the selection of appropriate care processes, a review of the scientific literature, consensus meetings to establish national guidelines, selection of clinical indicators with independent external evaluation, the setup of a national database, and a pilot study in one of the hospitals to evaluate the defined quality indicators in clinical practice.RESULTS: Seven neonatal surgical care processes were selected. Clinical guidelines to evaluate the care processes were established in six of seven disorders and were based on consensus agreement, which was reached in 81 to 97% of in total 220 relevant items. The expert panel selected a set of 24 indicators to estimate the quality of neonatal surgical care, of which 12 were outcome indicators and 12 process indicators.CONCLUSION: The development of quality indicators is an important step toward monitoring and, if necessary, improving the quality of neonatal surgical care. Internal or clinical indicators guarantee that the results are only disclosed to the participating center itself and are therefore no threat to individual doctors.
AB - OBJECTIVE: This study aims to develop a set of quality indicators for the measurement of the quality of surgical care for neonates with surgical disorders.METHODS: An expert panel of the Netherlands Association of Pediatric Surgeons developed internal (clinical) indicators for neonatal surgery. This included the selection of appropriate care processes, a review of the scientific literature, consensus meetings to establish national guidelines, selection of clinical indicators with independent external evaluation, the setup of a national database, and a pilot study in one of the hospitals to evaluate the defined quality indicators in clinical practice.RESULTS: Seven neonatal surgical care processes were selected. Clinical guidelines to evaluate the care processes were established in six of seven disorders and were based on consensus agreement, which was reached in 81 to 97% of in total 220 relevant items. The expert panel selected a set of 24 indicators to estimate the quality of neonatal surgical care, of which 12 were outcome indicators and 12 process indicators.CONCLUSION: The development of quality indicators is an important step toward monitoring and, if necessary, improving the quality of neonatal surgical care. Internal or clinical indicators guarantee that the results are only disclosed to the participating center itself and are therefore no threat to individual doctors.
KW - Congenital Abnormalities/surgery
KW - Humans
KW - Infant, Newborn
KW - Neonatology/standards
KW - Netherlands
KW - Pilot Projects
KW - Quality Assurance, Health Care/methods
KW - Quality Indicators, Health Care
KW - Specialties, Surgical/standards
UR - http://www.scopus.com/inward/record.url?scp=84952889652&partnerID=8YFLogxK
U2 - 10.1055/s-0034-1396416
DO - 10.1055/s-0034-1396416
M3 - Article
C2 - 25643251
SN - 0939-7248
VL - 25
SP - 526
EP - 531
JO - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
JF - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
IS - 6
ER -