Updating quality indicators for low-risk labour care in Japan using current clinical practice guidelines: a modified Delphi method

BMJ Open
Kayo UedaTakeo Nakayama

Abstract

Quality indicators are measurable elements widely used to assess the quality of care. They are often developed from the results of systematic reviews or clinical practice guidelines. These sources are regularly updated in line with new clinical evidence, but there are few articles on updating quality indicators based on clinical practice guidelines. This study aimed to update the quality indicators developed for low-risk labour care in Japan in 2012, mainly drawing on new or updated clinical practice guidelines, and making the process clearly visible and assessable. We used a modified Delphi method for the update. The procedure included four steps: (1) updating the definition of low-risk labour; (2) reviewing the literature published between June 2012 and December 2015 using five guidelines and two quality indicator databases to extract potential candidate indicators; (3) formation of a multidisciplinary panel including mothers and (4) panel ratings (two rounds between February and April 2016) on the validity of the candidate indicators, and judging the validity of the previous quality indicators drawing on the new evidence. A multidisciplinary panel of 13 clinicians, including obstetricians, paediatricians and midwives, plus 3...Continue Reading

Citations

Sep 27, 2018·Journal of Epidemiology·Yasuyuki OkumuraTadashi Takeshima
Jun 25, 2020·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Markus FollmannSimone Wesselmann
Sep 18, 2020·BMC Health Services Research·Miranda W LangendamHolger J Schünemann

Jan 16, 2021·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Markus FollmannSimone Wesselmann

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