|Title||Do practicing clinicians agree with expert ratings of neonatal intensive care unit quality measures?|
|Publication Type||Journal Article|
|Year of Publication||2012|
|Authors||Kowalkowski M, Gould JB, Bose C, Petersen LA, Profit J|
|Date Published||2012 Apr|
|Keywords||Attitude of Health Personnel, Delphi Technique, Faculty, Medical, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Neonatology, Observer Variation, Quality Improvement, Quality Indicators, Health Care, Research Personnel, Societies, Medical, United States|
OBJECTIVE: To assess the level of agreement when selecting quality measures for inclusion in a composite index of neonatal intensive care quality (Baby-MONITOR) between two panels: one comprised of academic researchers (Delphi) and another comprised of academic and clinical neonatologists (clinician).
STUDY DESIGN: In a modified Delphi process, a panel rated 28 quality measures. We assessed clinician agreement with the Delphi panel by surveying a sample of 48 neonatal intensive care practitioners. We asked the clinician group to indicate their level of agreement with the Delphi panel for each measure using a five-point scale (much too high, slightly too high, reasonable, slightly too low and much too low). In addition, we asked clinicians to select measures for inclusion in the Baby-MONITOR based on a yes or no vote and a pre-specified two-thirds majority for inclusion.
RESULT: In all, 23 (47.9%) of the clinicians responded to the survey. We found high levels of agreement between the Delphi and clinician panels, particularly across measures selected for the Baby-MONITOR. Clinicians selected the same nine measures for inclusion in the composite as the Delphi panel. For these nine measures, 74% of clinicians indicated that the Delphi panel rating was 'reasonable'.
CONCLUSION: Practicing clinicians agree with an expert panel on the measures that should be included in the Baby-MONITOR, enhancing face validity.
|Alternate Journal||J Perinatol|
|PubMed Central ID||PMC3963391|
|Grant List||K23 HD056298 / HD / NICHD NIH HHS / United States |
1 K23 HD056298-01 / HD / NICHD NIH HHS / United States