Approaches of integrating the development of guidelines and quality indicators: a systematic review

Abstract: Background:
Guidelines and quality indicators (for example as part of a quality assurance scheme) aim to improvehealth care delivery and health outcomes. Ideally, the development of quality indicators should be grounded inevidence-based, trustworthy guideline recommendations. However, anecdotally, guidelines and quality assuranceschemes are developed independently, by different groups of experts who employ different methodologies. Weconducted an extension and update of a previous systematic review to identify, describe and evaluate approachesto the integrated development of guidelines and related quality indicators.

Methods:
On May 24th, 2019 we searched in Medline, Embase and CINAHL and included studies if they reported amethodological approach to guideline-based quality indicator development and were published in English, French,or German. Results: Out of 16,034 identified records, we included 17 articles that described a method to integrate guidelinerecommendations development and quality indicator development. Added to the 13 method articles from originalsystematic review we included a total 30 method articles. We did not find any evaluation studies. In mostapproaches, guidelines were a source of evidence to inform the quality indicator development. The criteria to selectrecommendations (e.g. level of evidence or strength of the recommendation) and to generate, select and assessquality indicators varied widely. We found methodological approaches that linked guidelines and quality indicatordevelopment explicitly, however none of the articles reported a conceptual framework that fully integrated qualityindicator development into the guideline process or where quality indicator development was part of the questionformulation for developing the guideline recommendations.

Conclusions:
In our systematic review we found approaches which explicitly linked guidelines with qualityindicator development, nevertheless none of the articles reported a comprehensive and well-defined conceptualframework which integrated quality indicator development fully into the guideline development process

Angaben zum Objekt

• Standort: Deutsche Nationalbibliothek Frankfurt am Main
• Umfang: Online-Ressource
• Sprache: Englisch
• Anmerkungen: BMC health services research. - 20, 1 (2020) , 875, ISSN: 1472-6963

Klassifikation und Themen

• Schlagwort: Richtlinie ; Empfehlung ; Qualitätssteigerung ; Qualitätssicherung

Beteiligte, Orts- und Zeitangaben

• Ereignis: Veröffentlichung
• (wo): Freiburg
• (wer): Universität
• (wann): 2020
• Urheber: Langendam, Miranda ; Piggott, Thomas ; Nothacker, Monika Judith ; Agarwal, Arnav ; Armstrong, David ; Baldeh, Tejan ; Braithwaite, Jeffrey ; Castro Martins, Carolina ; Darzi, Andrea ; Etxeandia-Ikobaltzeta, Itziar ; Florez, Ivan ; Hoving, Jan ; Karam, Samer G. ; Kötter, Thomas ; Meerpohl, Jörg J. ; Mustafa, Reem A. ; Muti-Schünemann, Giovanna E. U. ; Wees, Philip J. van der ; Follmann, Markus ; Schünemann, Holger J.

Weitere Informationen

• DOI: 10.1186/s12913-020-05665-w
• URN: urn:nbn:de:bsz:25-freidok-1673347
• Rechteinformation: Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Letzte Aktualisierung: 14.08.2025, 10:58 MESZ