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Selection of key recommendations for quality indicators describing good quality outbreak response

机译:选择质量指标的关键建议,以描述高质量的疫情应对措施

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摘要

BACKGROUND: The performance of recommended control measures is necessary for quick and uniform infectious disease outbreak control. To assess whether these procedures are performed, a valid set of quality indicators (QIs) is required. The goal of this study was to select a set of key recommendations that can be systematically translated into QIs to measure the quality of infectious disease outbreak response from the perspective of disaster emergency responders and infectious disease control professionals. METHODS: Applying the Rand modified Delphi procedure, the following steps were taken to systematically select a set of key recommendations: extraction of recommendations from relevant literature; appraisal of the recommendations in terms of relevance through questionnaires to experts; expert meeting to discuss recommendations; prioritization of recommendations through a second questionnaire; and final expert meeting to approve the selected set. Infectious disease physicians and nurses, policymakers and communication experts participated in the expert group (n=48). RESULTS: In total, 54 national and international publications were systematically searched for recommendations, yielding over 200 recommendations. The Rand modified Delphi procedure resulted in a set of 65 key recommendations. The key recommendations were categorized into 10 domains describing the whole response pathway from outbreak recognition to aftercare. CONCLUSION: This study provides a set of key recommendations that represents 'good quality of response to an infectious disease outbreak'. These key recommendations can be systematically translated into QIs. Organizations and professionals involved in outbreak control can use these QIs to monitor the quality of response to infectious disease outbreaks and to assess in which domains improvement is needed.
机译:背景:为快速,统一地控制传染病爆发,必须采取推荐的控制措施。为了评估是否执行了这些程序,需要一套有效的质量指标(QI)。这项研究的目的是选择一套关键建议,这些建议可以系统地转化为QI,以从灾难应急人员和传染病控制专业人员的角度来衡量传染病暴发应对的质量。方法:采用兰德改进的德尔菲方法,采取以下步骤系统地选择了一组关键建议:从相关文献中提取建议;通过对专家的问卷调查对建议的相关性进行评估;专家会议,讨论建议;通过第二份问卷对建议进行优先排序;最后的专家会议,以批准选定的集合。传染病医师和护士,决策者和交流专家参加了专家组(n = 48)。结果:共系统搜索了54个国家和国际出版物中的建议,产生了200多个建议。兰德(Rand)修改的德尔菲(Delphi)程序得出了65条关键建议。关键建议分为10个领域,描述了从爆发识别到后续治疗的整个响应途径。结论:本研究提供了一组关键建议,这些建议代表“对传染病暴发的良好反应质量”。这些关键建议可以系统地翻译成QI。参与爆发控制的组织和专业人员可以使用这些QI来监视对传染病爆发的响应质量,并评估需要在哪些方面进行改进。

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