Key result
A RAND Delphi survey of 34 multidisciplinary experts validated a final set of 25 key interventions, 13 patient-level quality indicators, and 20 care programme-level quality indicators for STEMI.
A RAND Delphi survey validated 25 key interventions and 33 quality indicators to support quality improvement in hospital care for STEMI patients.
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May support standardized STEMI quality assessment; leaves open prospective outcome validation.
OBJECTIVE: Identification, selection and validation of key interventions and quality indicators for improvement of in hospital quality of care for ST-elevated myocardial infarction (STEMI) patients. METHODS AND RESULTS: A structured literature review was followed by a RAND Delphi Survey. A purposively selected multidisciplinary expert panel of cardiologists, nurse managers and quality managers selected and validated key interventions and quality indicators prior for quality improvement for STEMI. First, 34 experts (76% response rate) individually assessed the appropriateness of items to quality improvement on a nine point Likert scale. Twenty-seven key interventions, 16 quality indicators at patient level and 27 quality indicators at STEMI care programme level were selected. Eighteen additional items were suggested. Experts received personal feedback, benchmarking their score with group results (response rate, mean, median and content validity index). Consequently, 32 experts (71% response rate) openly discussed items with an item-content validity index above 75%. By consensus, the expert panel validated a final set of 25 key interventions, 13 quality indicators at patient level and 20 quality indicators at care programme level prior for improvement of in hospital care for STEMI. CONCLUSIONS: A structured literature review and multidisciplinary expertise was combined to validate a set of key interventions and quality indicators prior for improvement of care for STEMI. The results allow researchers and hospital staff to evaluate and support quality improvement interventions in a large cohort within the context of a health care system.
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Aeyels et al. (2017) studied ST-elevated myocardial infarction (STEMI) (n=34). RAND Delphi survey was evaluated on Selection and validation of key interventions and quality indicators for STEMI care. A RAND Delphi survey of 34 multidisciplinary experts validated a final set of 25 key interventions, 13 patient-level quality indicators, and 20 care programme-level quality indicators for STEMI.
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