[The development of a core set of quality of care indicators in a psychiatric hospital].
The Camille Claudel psychiatric hospital developed a table of a core set of quality indicators based upon a standarized description form and a critical appraisal grid that were recently released. The authors' aims were to study the validity of these tools and the main methodological difficulties faced professionals in the field in the process of developing their indicators. A multi-disciplinary working group from this hospital developed 43 indicators which were subsequently analysed by methodologists. Out of the 43 indicators, variables needed to calculate the indicators were incomplete for 30, the sampling method inappropriate in five, the means of data quality control not defined in 18, and the stratification and adjustment concepts mixed up in 6. Moreover, 14 indicators were excluded due to their lack of relevance or feasibility. The experience demonstrates the capacity of a hospital, without internal epidemiological or methodological competence, to develop its own set of quality indicators. The provision of methodological assistance and supervision, based upon tools proven to be relevant and effective, seems to be crucial in training professionals and helping them to select and improve their indicators.
Gory
I
I
Michel
P
P
Phely-Peyronnaud
C
C
D005602:France; D006778:Hospitals, Psychiatric / Q000592:standards*; D006801:Humans; D011787:Quality of Health Care / Q000592:standards*; D015203:Reproducibility of Results