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Hernández-Borges AA, Pérez-Estévez E, Jiménez-Sosa A, Concha-Torre A, Ordóñez-Sáez O, Sánchez-Galindo AC, Murga-Herrera V, Balaguer-Gargallo M, Nieto-Moro M, Pujol-Jover M, Aleo-Luján E. Set of Quality Indicators of Pediatric Intensive Care in Spain: Delphi Method Selection. Pediatr Qual Saf 2017; 2:e009. [PMID: 30229149 PMCID: PMC6132791 DOI: 10.1097/pq9.0000000000000009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 11/23/2016] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION This study objective was to identify, select, and define a basic set of quality indicators for pediatric intensive care in Spain. METHODS (1) Review of the literature to identify quality indicators and their defining elements and (2) selection of indicators by consensus of a group of experts using basic Delphi methodology (2 rounds) and forms distributed by email among experts from the Spanish society of pediatric intensive care. RESULTS We selected quality indicators according to their relevance and feasibility and the experts' agreement on their incorporation in the final set. We included only those indicators whose assessment was within the highest tertile and greater than or equal to 70% evaluator agreement in the final selection. Starting from an initially proposed set of 136 indicators, 31 experts first selected 43 indicators for inclusion in the second round. Twenty indicators were selected for the final set. This "top 20" set comprised 9 process indicators, 9 of results (especially treatment-associated adverse effects), and 2 indicators of structure. Several of them are classical indicators in intensive care medicine (rates of hospital-acquired infections, pressure ulcers, etc.), whereas others are specifically pediatric (eg, unrestricted parent visitation or training the parents of technology-dependent children). CONCLUSIONS We reached a consensus on a set of 20 essential quality indicators for pediatric intensive care in Spain. A significant subset reflects the peculiarities of pediatric care. We consider this subset as a starting point for future projects of network collaboration between pediatric intensive care units in Spain.
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Affiliation(s)
- Angel A. Hernández-Borges
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Elena Pérez-Estévez
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Alejandro Jiménez-Sosa
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Andrés Concha-Torre
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Olga Ordóñez-Sáez
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Amelia C. Sánchez-Galindo
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Vega Murga-Herrera
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Mónica Balaguer-Gargallo
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Montserrat Nieto-Moro
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Montserrat Pujol-Jover
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
| | - Esther Aleo-Luján
- From the Research Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain; Pediatric Intensive Care Unit, Hospital Universitario Cruces, Bilbao, Spain; Pediatric Intensive Care Unit, Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias, Oviedo, Spain; Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario Gregorio Marañón, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitario de Salamanca, Salamanca, Spain; Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Pediatric Intensive Care Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain; Pediatric Intensive Care Unit, Hospital Universitari de la Vall d’Hebron, Barcelona, Spain; and Pediatric Intensive Care Unit, Hospital Clínico San Carlos, Madrid, Spain
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