title: [Prioritization of performance measures for assessment of hospital-based stroke care quality through a consensus method].
abstract: OBJECTIVE
  To define a core set of evidence-based performance indicators (PIs) for the assessment of in-hospital stroke care quality by means of consensus prioritization by a panel of experts representing stroke care professionals in three Autonomous Communities (Catalonia, Aragon and Balearic Islands).
  
  
  METHODS
  We used a modified Delphi method in two rounds to prioritize a set of PIs from among 70 indicators identified by a review of the literature and those already used in previous experiences. Consensus on validity was reached when ≥ 75% of panellists rated a PI in the top tertile, using a 1-9 Likert scale. On the basis of the percentage distribution of annual stroke admissions in each one of the 3 regions, we configured a multidisciplinary panel of 56 experts involved in the hospital care of acute stroke patients.
  
  
  RESULTS
  Twenty-nine out of the 70 PIs initially put forward to the panel, have been prioritized after 2 rounds. The eventual core set of PIs consists of those with the highest scores and represent all areas of hospital-based stroke care. A subgroup of 5 PIs is applicable to Primary Stroke Centres only. The 3 highest rated PIs, which achieved the greatest consensus among the experts, are anticoagulants for AF, antithrombotics at discharge and continued physiotherapy planned at discharge.
  
  
  CONCLUSIONS
  Through a Delphi method, we have obtained a core set of evidence-based PIs considered of high importance and agreed by a multidisciplinary panel of stroke care experts from the participating Communities, which represent over 20% of the Spanish population.
authors: Pla Director Malaltia Vascular Cerebral, Agència d'Informació, Avaluació i Qualitat en Salut (AIAQS), Barcelona, España. msalvat@aatrm.catsalut.cat
authors: M
authors: M
authors: Salvat-Plana
authors: S
authors: S
authors: Abilleira
authors: C
authors: C
authors: Jiménez
authors: J
authors: J
authors: Marta
authors: M
authors: M
authors: Gallofré
mesh_terms: D032921:Consensus; D003697:Delphi Technique; D055317:Evidence-Based Practice / Q000592:standards*; D005104:Expert Testimony; D019983:Guideline Adherence; D006292:Health Priorities; D006761:Hospitals / Q000592:standards*; D006801:Humans; D033183:Interdisciplinary Communication; D008485:Medical Audit; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care; D013030:Spain; D020521:Stroke / Q000453:epidemiology / Q000628:therapy*; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis