16 17 For each organisation, the aim was to interview both a clinician and a methodologist, who have worked on guideline-based QI, to consider possible different perspectives. Interviewees were selected aiming at purposive maximum variation sampling in relation to guideline development organisations and healthcare settings to reflect a wide range of experiences. The results of this study will be shared within the respective G-I-N working group with the aim to contribute to an international methodological standard.Ī systematic search conducted in preparation of the study up to January 2017 yielded no qualitative publications reflecting on the whole methodological process for developing and implementing guideline-based QI.
Further subprojects included an analysis of existing German guideline-based QI, 10 qualitative interviews with German authors from guidelines with and without development of guideline-based QI, 11 a comparison of international and German guideline-based QI published on the same topic 12 and a systematic compilation of existing assessment instruments for QI. 289625106 ), 9 we here report an international qualitative study. In the context of a broader research project aiming to guide the development of an evidence and consensus based methodological standard for the development of guideline-based QI in Germany (DFG Project No. 5–7 To enable an international comparison and harmonisation of approaches, the Performance Measures Working Group of the Guidelines International Network (G-I-N) published reporting standards for guideline-based performance measures in 2016. 4 However, the link between guideline recommendations and QI is often neglected and international methodological standards for the development of guideline-based QI are still lacking. 1–3 An QI can be defined as a ‘measurable element of practice performance for which there is evidence or consensus that it can be used to assess the quality, and hence change in the quality, of care provided’. Evidence-based clinical guidelines play an important role in healthcare and can be a valuable source for quality improvement ideally monitored by guideline-based quality indicators (QIs).
0 kommentar(er)
