Format

Send to

Choose Destination
See comment in PubMed Commons below
J Crohns Colitis. 2014 Mar;8(3):240-51. doi: 10.1016/j.crohns.2013.10.010. Epub 2013 Dec 2.

Delphi consensus statement: Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units.

Author information

  • 1Servei de Malaties Digestives, Hospital de Sabadell, Institut Universitari Parc Taulí, Departament de Medicina, Universitat Autònoma de Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Spain.
  • 2Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Spain; Hospital Clínic, Barcelona, Spain. Electronic address: jpanes@clinic.cat.
  • 3Técnicas Avanzadas de Investigación en Servicios de Salud (TAISS), Spain.
  • 4Servicio de Aparato Digestivo, Hospital de Manises, Spain.
  • 5Servicio de Gastroenterología, Hospital Universitario de Burgos, Spain.
  • 6Hospital Clínic, Barcelona, Spain.
  • 7Asociación de pacients de Crohn y Colitis Ulcerosa (ACCU), Spain.
  • 8Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Spain; Servicio de Aparato Digestivo, Hospital Clínico "Lozano Blesa" de Zaragoza, Spain.

Abstract

BACKGROUND AND AIMS:

While it is commonly accepted that Inflammatory bowel disease (IBD) Comprehensive Care Units (ICCUs) facilitate the delivery of quality care to Crohn's disease and ulcerative colitis patients, it remains unclear how an ICCU should be defined or evaluated. The aim of the present study was to develop a comprehensive set of Quality Indicators (QIs) of structure, process, and outcomes for defining and evaluating an ICCU.

METHODS:

A Delphi consensus-based approach with a standardized three-step process was used to identify a core set of QIs. The process included an exhaustive search using complementary approaches to identify potential QIs, and two Delphi voting rounds to select the QIs defining the core requirements for an ICCU.

RESULTS:

The consensus selected a core set of 56 QIs (12 structure, 20 process and 24 outcome). Structure and process QIs highlighted the need for multidisciplinary management and continuity of care. The minimal IBD team should include an IBD nurse, gastroenterologists, radiologists, surgeons, endoscopists and stoma management specialists. ICCUs should be able to provide both outpatient and inpatient care and admission should not break the continuity of care. Outcome QIs focused on the adequate prophylaxis of disease complication and drug adverse events, the need to monitor appropriateness of treatment and the need to reinforce patient autonomy by providing adequate information and facilitating the patients' participation in their own care.

CONCLUSIONS:

The present Delphi consensus identified a set of core QIs that may be useful for evaluating and certifying ICCUs.

Copyright © 2013 Elsevier B.V. All rights reserved.

KEYWORDS:

Crohn's disease; Health care; Inflammatory bowel disease; Quality Indicators; Ulcerative colitis

[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for Elsevier Science
    Loading ...
    Write to the Help Desk