From: Guideline-based quality assurance: a conceptual framework for the definition of key elements
Quality Indicator [construct] | Performance Measure [rate-based measure of construct] | Performance Indicator [rate used to set threshold] |
---|---|---|
Outcome: Quality of Life, e.g. for cancer care. | ||
Quality of Life (health status indicator) | The Short Form (36) Health Survey (SF36)1 | Scores above 50 on the SF36 functional domain |
Outcome: Complication of rectal cancer surgery | ||
Anastomotic leakage in rectal cancer2 (health status indicator) | Rate of anastomotic leakage grade B or C (measured as: n° of pts. with anastomotic leakage grade B or C after elective interventions/ All pts. with rectal cancer with creation of an anastomosis during elective primary tumour resection) | As seldom as possible: Grade B or C anastomotic leakage following the creation of an anastomosis during surgery to treat rectal cancer |
Outcome: Mortality from colorectal cancer | ||
Mortality from colorectal cancer (health status indicator) | Proportion of deceased people at time point x among all people diagnosed | < 20% |
Participation in screening (process indicator) | Proportion of people, for whom screening is recommended, participating in screening among all the eligible people (e.g. governmental databases) | Higher than 95% |
Existence of an organised screening programme (structure indicator) | Audit in which the requirements for a screening programme are assessed | 100% |
Outcome: Venous thromboembolism (VTE) in hospitalized medical patients (deep venous thrombosis or pulmonary embolism) | ||
VTE (health status indicator) | Proportion of hospitalized medical patients developing VTE over all the hospitalised patients | Less than 5% |
Risk stratification for VTE in hospitalized patients (process indicator) | Proportion of eligible patients being risk stratified and treated according to risk stratification over all hospitalised patients eligible for risk stratification | 100% |
Clinical decision support system (CDSS) present (structure indicator) | Audit in which the availability of CDSS and policy for adoption of the use of CDSS are assessed. | 100% |