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Table 1 Phases and tasks in the development and testing of indicators for central catheter-related bloodstream infections (CRBSI)

From: Development of quality indicators and data assessment strategies for the prevention of central venous 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)