Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study
Introduction Quality of emergency department (ED) care affects patient outcomes substantially. Quality indicators (QIs) for ED care are a major challenge due to the heterogeneity of patient populations, health care structures and processes in Germany. Although a number of quality measures are alread...
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e038776.full |
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| author | Anna Slagman Felix Greiner Martin Möckel Rainer Röhrig Susanne Drynda Wencke Schindler Johannes Pollmanns Dirk Horenkamp-Sonntag Wiebke Schirrmeister Ronny Otto Jonas Bienzeisler Saskia Drösler Rolf Lefering Jennifer Hitzek Enno Swart Felix Walcher |
| author_facet | Anna Slagman Felix Greiner Martin Möckel Rainer Röhrig Susanne Drynda Wencke Schindler Johannes Pollmanns Dirk Horenkamp-Sonntag Wiebke Schirrmeister Ronny Otto Jonas Bienzeisler Saskia Drösler Rolf Lefering Jennifer Hitzek Enno Swart Felix Walcher |
| author_sort | Anna Slagman |
| collection | DOAJ |
| description | Introduction Quality of emergency department (ED) care affects patient outcomes substantially. Quality indicators (QIs) for ED care are a major challenge due to the heterogeneity of patient populations, health care structures and processes in Germany. Although a number of quality measures are already in use, there is a paucity of data on the importance of these QIs on medium-term and long-term outcomes. The evaluation of outcome relevance of quality indicators in the emergency department study (ENQuIRE) aims to identify and investigate the relevance of QIs in the ED on patient outcomes in a 12-month follow-up.Methods and analysis The study is a prospective non-interventional multicentre cohort study conducted in 15 EDs throughout Germany. Included are all patients in 2019, who were ≥18 years of age, insured at the Techniker Krankenkasse (statutory health insurance (SHI)) and gave their written informed consent to the study.The primary objective of the study is to assess the effect of selected quality measures on patient outcome. The data collected for this purpose comprise medical records from the ED treatment, discharge (claims) data from hospitalised patients, a patient questionnaire to be answered 6–8 weeks after emergency admission, and outcome measures in a 12-month follow-up obtained as claims data from the SHI.Descriptive and analytical statistics will be applied to provide summaries about the characteristics of QIs and associations between quality measures and patient outcomes.Ethics and dissemination Approval of the leading ethics committee at the Medical Faculty of the University of Magdeburg (reference number 163/18 from 19 November 2018) has been obtained and adapted by responsible local ethics committees.The findings of this work will be disseminated by publication of peer-reviewed manuscripts and presentations as conference contributions (abstracts, poster or oral presentations).Moreover, results will be discussed with clinical experts and medical associations before being proposed for implementation into the quality management of EDs.Trial registration number German Clinical Trials Registry (DRKS00015203); Pre-results. |
| format | Article |
| id | doaj-art-8b377556ed7b46d9be61d6389fae9f18 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-8b377556ed7b46d9be61d6389fae9f182025-01-08T12:55:13ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-038776Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort studyAnna Slagman0Felix Greiner1Martin Möckel2Rainer Röhrig3Susanne Drynda4Wencke Schindler5Johannes Pollmanns6Dirk Horenkamp-Sonntag7Wiebke Schirrmeister8Ronny Otto9Jonas Bienzeisler10Saskia Drösler11Rolf Lefering12Jennifer Hitzek13Enno Swart14Felix Walcher15Emergency and Acute Medicine, Campus Mitte and Virchow, Charite Universitatsmedizin Berlin, Berlin, GermanyDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, GermanyDepartment of Emergency and Acute Medicine, Charite Universitatsmedizin Berlin, Berlin, GermanyInstitute of Medical Informatics, RWTH Aachen University, Aachen, GermanyDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, GermanyInstitute of Social Medicine and Health Systems Research, Otto von Guericke University, Magdeburg, GermanyFaculty of Health Care, Niederrhein University of Applied Sciences, Krefeld, GermanyTechniker Krankenkasse, Hamburg, GermanyDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, GermanyDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, GermanyInstitute of Medical Informatics, RWTH Aachen University, Aachen, GermanyFaculty of Health Care, Niederrhein University of Applied Sciences, Krefeld, GermanyInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Witten, GermanyEmergency and Acute Medicine, Campus Mitte and Virchow, Charite Universitatsmedizin Berlin, Berlin, GermanyMedical Faculty, Institut for Social Medicine and Health Systems Research, Otto von Guericke University Magdeburg, Magdeburg, GermanyDepartment of Trauma Surgery, Otto von Guericke University, Magdeburg, GermanyIntroduction Quality of emergency department (ED) care affects patient outcomes substantially. Quality indicators (QIs) for ED care are a major challenge due to the heterogeneity of patient populations, health care structures and processes in Germany. Although a number of quality measures are already in use, there is a paucity of data on the importance of these QIs on medium-term and long-term outcomes. The evaluation of outcome relevance of quality indicators in the emergency department study (ENQuIRE) aims to identify and investigate the relevance of QIs in the ED on patient outcomes in a 12-month follow-up.Methods and analysis The study is a prospective non-interventional multicentre cohort study conducted in 15 EDs throughout Germany. Included are all patients in 2019, who were ≥18 years of age, insured at the Techniker Krankenkasse (statutory health insurance (SHI)) and gave their written informed consent to the study.The primary objective of the study is to assess the effect of selected quality measures on patient outcome. The data collected for this purpose comprise medical records from the ED treatment, discharge (claims) data from hospitalised patients, a patient questionnaire to be answered 6–8 weeks after emergency admission, and outcome measures in a 12-month follow-up obtained as claims data from the SHI.Descriptive and analytical statistics will be applied to provide summaries about the characteristics of QIs and associations between quality measures and patient outcomes.Ethics and dissemination Approval of the leading ethics committee at the Medical Faculty of the University of Magdeburg (reference number 163/18 from 19 November 2018) has been obtained and adapted by responsible local ethics committees.The findings of this work will be disseminated by publication of peer-reviewed manuscripts and presentations as conference contributions (abstracts, poster or oral presentations).Moreover, results will be discussed with clinical experts and medical associations before being proposed for implementation into the quality management of EDs.Trial registration number German Clinical Trials Registry (DRKS00015203); Pre-results.https://bmjopen.bmj.com/content/10/9/e038776.full |
| spellingShingle | Anna Slagman Felix Greiner Martin Möckel Rainer Röhrig Susanne Drynda Wencke Schindler Johannes Pollmanns Dirk Horenkamp-Sonntag Wiebke Schirrmeister Ronny Otto Jonas Bienzeisler Saskia Drösler Rolf Lefering Jennifer Hitzek Enno Swart Felix Walcher Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study BMJ Open |
| title | Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study |
| title_full | Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study |
| title_fullStr | Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study |
| title_full_unstemmed | Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study |
| title_short | Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study |
| title_sort | evaluation of outcome relevance of quality indicators in the emergency department enquire study protocol for a prospective multicentre cohort study |
| url | https://bmjopen.bmj.com/content/10/9/e038776.full |
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