Developing quality indicators for the care of patients with musculoskeletal injuries in the Emergency Department: study protocol

BMC Emergency Medicine

Study Protocol

Melinda Martin-Khan¹  Anthony Bell²  Kirsten Strudwick³  Trevor Russell⁴ 

[1] Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia;Centre for Online Health, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia;Department of Emergency Medicine, The Royal Brisbane and Women’s Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia;School of Medicine, The University of Queensland, Brisbane, Queensland, Australia;Emergency and Physiotherapy Departments, QEII Jubilee Hospital, Metro South Hospital and Health Service, Brisbane, Queensland, Australia;School of Health and Rehabilitation, The University of Queensland, Brisbane, Queensland, Australia;School of Health and Rehabilitation, The University of Queensland, Brisbane, Queensland, Australia;

关键词: Emergency service;    Quality indicators;    Quality of health care;    Wounds and injuries;    Musculoskeletal diseases;    Research design;   

DOI  :  10.1186/s12873-017-0124-7

 received in 2017-04-06, accepted in 2017-04-18,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMusculoskeletal injuries are a common presentation to the Emergency Department (ED). The quality of care provided is important to the patients, clinicians, organisations and purchasers of care. In the context of the increasing burden of musculoskeletal disease, quality of care needs to occur despite financial impacts, variations in care, and pressure to reach time-based performance measures. This study aims to develop a suite of evidence-based quality indicators (QI) which will provide a measure of the quality of care for patients with musculoskeletal injuries in the ED.MethodsThis study will utilise a multi-phase mixed methods protocol, commencing with a systematic review of the literature to identify and critically appraise existing QIs for musculoskeletal injuries in the ED. The study will then build on the gaps identified in the review to develop a suite of preliminary QIs, in accordance with established research methodology under the governance of an expert panel. The developed QI set will then be field-tested for feasibility and validity in selected EDs. After field-testing, the suite will be refined in consultation with the expert panel and finalised using a formal voting process.DiscussionThe assessment of performance against QIs provides a quantitative measure for the quality of care provided to patients, to identify and target quality improvement activities. The QIs developed through this study will be evidence-based and balanced across the areas of structures, processes and outcomes. The rigorous methodology used to develop and test the QIs will result in QIs that are meaningful, valid, feasible to collect and efficiently measurable, amenable to improvement, and selected by experts in the emergency medicine field. The final QI suite will have applications across EDs that affords comparison, benchmarking and optimisation of emergency care for patients.

【 授权许可】

CC BY   
© The Author(s). 2017