5 Pa Method For The Development Of Evidence Based Review Criteria

Conference: 
Author(s): 
Baker R, Eli Lilly National Clinical Audit Centre, Department of General Practice and Primary Health Care, University of Leicester, Leicester, UK. Fraser RC, Lakhani M, Khunti K.
Text: 
Introduction:
Criteria are systematically developed statements used to assess the quality of care and are an essential component of quality improvement. However, if quality improvement efforts are to lead to benefits for patients, criteria should be based on sound research evidence.
Method: A method for the systematic development of criteria has been developed, beginning with the selection of a topic. The key elements or issues of care in relation to the topic are then identified by consulting appraised systematic reviews or guidelines. Focused systematic literature reviews of each key issue are then undertaken, using electronic bibliographies and specific search strategies to identify high quality studies of the issue concerned. Criteria are drawn up from this appraised research evidence, followed by prioritisation of the criteria according to the strength of the evidence and impact on outcome. Finally, the criteria are submitted to peer-review.
Results: The development of evidence based criteria is a time consuming activity. However, they make explicit links between research evidence and assessment of the quality of care. Criteria for several clinical and organisational topics have been produced, and well received by users through the United Kingdom.
Conclusion:
Evidence-based criteria can be developed using a systematic approach and criteria that are developed by informal methods should no longer be accepted for use in quality improvement programmes.
Literature: 
5 PA METHOD FOR THE DEVELOPMENT OF EVIDENCE BASED REVIEW CRITERIA