Table 1 Phases and tasks in the development and testing of indicators for central catheter-related bloodstream infections (CRBSI)
Phases | Tasks |
|---|---|
1. Compiling evidence | ● Investigate the topic |
- Exploring care pathways | |
- Defining quality objectives | |
- Consulting with experts (Scoping workshop) | |
● Structured search: | |
- Structured search for indicators | |
- Structured search for aggregated evidence | |
- Systematic literature search | |
2. Compiling a register of indicators | ● Defining each indicator: |
- Numerator, denominator | |
- Inclusion and exclusion criteria | |
- Target levels or standards if available | |
- Type (process, outcome, intermediate outcome, structure) | |
- Data sources | |
- Evidence | |
- Risk adjustment if applicable | |
3. Panel rating | ● Inviting and selecting experts |
● Preliminary meeting | |
- Overview of the rating procedure | |
- Providing indicator templates | |
● Rating rounds | |
- Round 1: Relevance and comprehensibility – remote and on-site rating | |
- Round 2: Feasibility – remote and on-site rating | |
4. Identification of data specification | ● Specifying each indicator, data sources and required data fields |
● Defining trigger criteria to identify patients for the QA procedure | |
● Defining data fields required for risk adjustment | |
5. Consultation | ● Summarizing agreed indicators, data assessment methodologies and implementation plan in an interim report |
● Sending this report to all relevant medical societies and the self-governing associations of physicians, hospitals and health insurance funds for open consultation | |
● Revising indicators, data assessment methodology and implementation plan if applicable | |
● Compiling final report, that is approved by the Federal Joint Committee (FJC) |