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. 2020 Feb;32(1):5-79.
doi: 10.1007/s12028-019-00846-w.

Clinical Performance Measures for Neurocritical Care: A Statement for Healthcare Professionals from the Neurocritical Care Society

Sarah Livesay  1 , Herbert Fried  2 , David Gagnon  3 , Navaz Karanja  4 , Abhijit Lele  5 , Asma Moheet  6 , Casey Olm-Shipman  7 , Fabio Taccone  8 , David Tirschwell  9 , Wendy Wright  10 , J Claude Hemphill Iii  11 ; Neurocritical Care Society
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Clinical Performance Measures for Neurocritical Care: A Statement for Healthcare Professionals from the Neurocritical Care Society

Sarah Livesay et al. Neurocrit Care. 2020 Feb.

Abstract

Background: Performance measures are tools to measure the quality of clinical care. To date, there is no organized set of performance measures for neurocritical care.

Methods: The Neurocritical Care Society convened a multidisciplinary writing committee to develop performance measures relevant to neurocritical care delivery in the inpatient setting. A formal methodology was used that included systematic review of the medical literature for 13 major neurocritical care conditions, extraction of high-level recommendations from clinical practice guidelines, and development of a measurement specification form.

Results: A total of 50,257 citations were reviewed of which 150 contained strong recommendations deemed suitable for consideration as neurocritical care performance measures. Twenty-one measures were developed across nine different conditions and two neurocritical care processes of care.

Conclusions: This is the first organized Neurocritical Care Performance Measure Set. Next steps should focus on field testing to refine measure criteria and assess implementation.

Keywords: Metrics; Neurocritical care; Performance measures; Quality.

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