目的:选择基于共识的一组相关且可行的指标,以监测和提高区域ICU网络协作的质量。
方法:2022年4月至7月在荷兰进行了三轮Delphi研究。一个多学科专家小组在两轮问卷中优先考虑潜在相关和可行的指标,两轮之间举行两次共识会议。使用RAND/UCLA适当性方法对指标进行分类并综合结果。最终在两个ICU网络中测试了具有基于共识的相关性和可行性水平的最高排名指标的核心集,以评估其可测量性。
结果:24项指标被认为是相关和可行的。为衡量该地区标准化死亡率的核心集选择了七个指标(n=1),并评估了存在,描述网络结构和政策协议的正式计划的内容和/或后续行动(n=3),长期网络愿景声明(n=1),和网络会议,以反思和学习成果数据(n=2)。实践测试导致了较小的重新制定。
结论:本研究根据各种专家的集体意见,为监测和提高ICU网络协作质量提供了相关且可行的指标。指示符可以帮助有效地管理这样的网络。
To select a
consensus-based set of relevant and feasible indicators for monitoring and improving the quality of regional ICU network collaboratives.
A three-round Delphi study was conducted in the Netherlands between April and July 2022. A multidisciplinary expert panel prioritized potentially relevant and feasible indicators in two questionnaire rounds with two
consensus meetings between both rounds. The RAND/UCLA appropriateness method was used to categorize indicators and synthesize results. A core set of highest ranked indicators with
consensus-based levels of relevance and feasibility were finally tested in two ICU
networks to assess their measurability.
Twenty-four indicators were deemed as relevant and feasible. Seven indicators were selected for the core set measuring the standardized mortality rate in the region (n = 1) and evaluating the presence, content and/or follow-up of a formal plan describing network structures and policy agreements (n = 3), a long-term network vision statement (n = 1), and network meetings to reflect on and learn from outcome data (n = 2). The practice tests led to minor reformulations.
This study generated relevant and feasible indicators for monitoring and improving the quality of ICU network collaboratives based on the collective opinion of various experts. The indicators may help to effectively govern such
networks.