Development of quality indicators for departments of hospital-based physiotherapy: a modified Delphi study.
continuous quality improvement
healthcare quality improvement
hospital medicine
quality improvement
standards of care
Journal
BMJ open quality
ISSN: 2399-6641
Titre abrégé: BMJ Open Qual
Pays: England
ID NLM: 101710381
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
30
08
2019
revised:
28
05
2020
accepted:
03
06
2020
entrez:
25
6
2020
pubmed:
25
6
2020
medline:
22
4
2021
Statut:
ppublish
Résumé
International hospital accreditation instruments, such as Joint Commission International (JCI) and Qmentum, focus mainly on hospital policy and procedures and do not specifically cover a profession such as hospital-based physiotherapy. This justifies the need for a quality system to which hospital-based physiotherapy can better identify, based on a common framework of quality indicators for effective quality management. This study aimed to identify the most important quality indicators of a hospital-based physiotherapy department in the eyes of hospital-based physiotherapists and their managers. Based on input from three focus groups and a structured literature review, a first set of quality indicators for hospital physiotherapy was assembled. After checking this set for duplicates and for overlap with JCI and Qmentum, it formed the starting point of a modified Delphi procedure. In two rounds, 17 hospital-based physiotherapy experts rated the quality indicators on relevance through online surveys. In a final consensus meeting, quality indicators were established, classified in quality themes and operationalised by describing for each theme the rationale, specifications, domain and type of indicator. Three focus groups provided 120 potential indicators, which were complemented with 18 potential indicators based on literature. After duplicate and overlap check and the Delphi procedure, these 138 potential indicators were reduced to a set of 56 quality indicators for hospital-based physiotherapy. Finally, these 56 indicators were condensed into 7 composite indicators, each representing a quality theme based on definitions of the European Foundation for Quality Management. A set of 56 quality indicators, condensed into 7 composite indicators each representing a quality theme, was developed to assess the quality of a hospital-based physiotherapy department.
Sections du résumé
BACKGROUND
International hospital accreditation instruments, such as Joint Commission International (JCI) and Qmentum, focus mainly on hospital policy and procedures and do not specifically cover a profession such as hospital-based physiotherapy. This justifies the need for a quality system to which hospital-based physiotherapy can better identify, based on a common framework of quality indicators for effective quality management.
OBJECTIVE
This study aimed to identify the most important quality indicators of a hospital-based physiotherapy department in the eyes of hospital-based physiotherapists and their managers.
METHODS
Based on input from three focus groups and a structured literature review, a first set of quality indicators for hospital physiotherapy was assembled. After checking this set for duplicates and for overlap with JCI and Qmentum, it formed the starting point of a modified Delphi procedure. In two rounds, 17 hospital-based physiotherapy experts rated the quality indicators on relevance through online surveys. In a final consensus meeting, quality indicators were established, classified in quality themes and operationalised by describing for each theme the rationale, specifications, domain and type of indicator.
RESULTS
Three focus groups provided 120 potential indicators, which were complemented with 18 potential indicators based on literature. After duplicate and overlap check and the Delphi procedure, these 138 potential indicators were reduced to a set of 56 quality indicators for hospital-based physiotherapy. Finally, these 56 indicators were condensed into 7 composite indicators, each representing a quality theme based on definitions of the European Foundation for Quality Management.
CONCLUSION
A set of 56 quality indicators, condensed into 7 composite indicators each representing a quality theme, was developed to assess the quality of a hospital-based physiotherapy department.
Identifiants
pubmed: 32576577
pii: bmjoq-2019-000812
doi: 10.1136/bmjoq-2019-000812
pmc: PMC7312452
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Acad Med. 2016 May;91(5):663-8
pubmed: 26796090
J R Soc Med. 2006 Jun;99(6):303-8
pubmed: 16738373
Phys Ther. 1997 Sep;77(9):918-32; discussion 933-6
pubmed: 9291949
Phys Ther. 1999 Feb;79(2):171-85
pubmed: 10029057
Pediatr Clin North Am. 2016 Apr;63(2):329-39
pubmed: 27017039
Eval Rev. 1997 Jun;21(3):292-309
pubmed: 10183280
JAMA. 1988 Sep 23-30;260(12):1743-8
pubmed: 3045356
Phys Ther. 2002 May;82(5):449-58
pubmed: 11991798
N Engl J Med. 2009 Jan 29;360(5):491-9
pubmed: 19144931
Crit Care. 2012 Dec 11;16(6):R230
pubmed: 23232109
Eur J Obstet Gynecol Reprod Biol. 2017 Apr;211:177-181
pubmed: 28284930
J Allied Health. 2000 Winter;29(4):203-13
pubmed: 11147186
Occup Ther Health Care. 2017 Oct;31(4):365-373
pubmed: 29039722
J Public Health Med. 1998 Dec;20(4):414-21
pubmed: 9923948
Annu Rev Psychol. 2001;52:27-58
pubmed: 11148298
Clin Rehabil. 2005 Jun;19(4):365-71
pubmed: 15929504
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
PLoS One. 2011;6(6):e20476
pubmed: 21694759
Phys Ther. 2001 Jul;81(7):1317-27
pubmed: 11444995
Can J Cardiol. 2012 Jan-Feb;28(1):110-8
pubmed: 22154233
J Health Serv Res Policy. 2005 Jan;10(1):10-7
pubmed: 15667699
Qual Health Care. 1994 Sep;3(3):147-52
pubmed: 10139412
Health Estate J. 1997 Sep;51(7):14-5
pubmed: 10174371
J Adv Nurs. 2000 Oct;32(4):1008-15
pubmed: 11095242
BMJ Qual Saf. 2017 Feb;26(2):150-163
pubmed: 26902254
Aust Health Rev. 2015 Jun;39(3):295-302
pubmed: 25935069
Jt Comm J Qual Improv. 1998 May;24(5):240-50
pubmed: 9626617
BMJ Qual Saf. 2012 Oct;21(10):872-5
pubmed: 22562877
Clin Rehabil. 2000 Oct;14(5):468-80
pubmed: 11043872