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Table 1 Key elements of QAF

From: Keys to successful implementation of a French national quality indicator in health care organizations: a qualitative study

Quality indicator description form
Definition This quality indicator, expressed as a score, evaluates the state of the anesthesia file.
For every file chosen at random, a quality score between 0 and 1 is calculated based on a maximum of 13 criteria. The closer the score is to 1, the higher the estimated quality of the file.
Criteria  1. Patient identification on every page of the file
Pre-anesthesia
 2. Anesthetist named in file (pre-anesthesia consultation or visit)
 3. Records from pre-anesthesia visit attached (pre-anesthesia visit)
 4. Ongoing medical treatment (or lack of treatment) recorded in file (pre-anesthesia consultation or visit)
 5. Evaluation of anesthesia risk recorded in file (pre-anesthesia consultation or visit)
 6. Type of anesthesia proposed to patient recorded in file (pre-anesthesia consultation or visit)
 7. Pre-anesthesia evaluation of access to upper airways recorded in file (pre-anesthesia consultation or visit)
Anesthesia during intervention
 8. Anesthetist present during intervention named in file
 9. Technical approach for access to upper airways recorded in file (if applicable)
Immediate post-anesthesia care
 10. Anesthetist present at post-intervention named in file (if applicable)
 11. Anesthetist’s signature authorizing patient’s discharge from recovery room in file (if applicable)
 12. Post-intervention medical prescriptions recorded (if applicable)
Throughout
 13. Space for recording peri-anesthesia incidents or accidents
Sample Size A sample size of 60 files in each health care organization is used to calculate an average score
Type of Indicator Process indicator.
Composite indicator.
Risk adjustment: no.