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A.1 A national eDelphi process to establish Canadian quality indicators for the care of adults hospitalized for neurological problems

Published online by Cambridge University Press:  05 June 2023

CD Foster
Affiliation:
(Calgary)
M Yaraskavitch
Affiliation:
(Calgary)
E Barrett
Affiliation:
(Calgary)
S Peters
Affiliation:
(Calgary)
C Bencsik
Affiliation:
(Calgary)
J Burton
Affiliation:
(Calgary)
KM Chapman
Affiliation:
(Vancouver)
GS Gilmour
Affiliation:
(Toronto)
D Martino
Affiliation:
(Calgary)
SB Mitchell
Affiliation:
(Toronto)
C Kassardjian
Affiliation:
(Toronto)
H Khosravani
Affiliation:
(Toronto)
K Sauro
Affiliation:
(Calgary)
DF Tang-Wai
Affiliation:
(Toronto)
S Wiebe
Affiliation:
(Calgary)
LJ Cooke
Affiliation:
(Calgary)*
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Abstract

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Background: Our aim was to develop a National Quality Indicators Set for the Care of Adults Hospitalized for Neurological Problems, to serve as a foundation to build regional or national quality initiatives in Canadian neurology centres. Methods: We used a national eDelphi process to develop a suite of quality indicators and a parallel process of surveys and patient focus groups to identify patient priorities. Canadian content and methodology experts were invited to participate. To be included, >70% of participants had to rate items as critical and <15% had to rate it as not important. Two rounds of surveys and consensus meetings were used identify and rank indicators, followed by national consultation with members of the Canadian Neurological Society. Results: 38 neurologists and methodologists and 56 patients/caregivers participated in this project. An initial list of 91 possible quality indicators was narrowed to 40 indicators across multiple categories of neurological conditions. 21 patient priorities were identified. Conclusions: This quality indicators suite can be used regionally or nationally to drive improvement initiatives for inpatient neurology care. In addition, we identified multiple opportunities for further research where evidence was lacking or patient and provider priorities did not align.

Type
Abstracts
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Canadian Neurological Sciences Federation