title: PP095. Guideline-based development of quality indicators for hypertensive diseases in pregnancy.
abstract: BACKGROUND
  Hypertensive disorders in pregnancy are one of the main causes of maternal morbidity and mortality. Internationally, several organizations have developed clinical guidelines to assist professionals and to supply patients with the best possible care. To improve the care for this group of patients, insight into the application of clinical guidelines in daily practice is needed. Valid quality indicators are necessary to estimate actual guideline adherence. In this study, we developed a set of valid guidelines based quality indicators for hypertensive diseases in pregnancy.
  
  
  OBJECTIVE
  None.
  
  
  METHODS
  A systematic RAND-modified Delphi method was used to develop a set of quality indicators based on evidence-based guidelines and the literature, about hypertension and pregnancy. Experts' opinions were used to select the indicators regarding specific criteria such as efficacy, level of health gain and potential for care improvement.
  
  
  RESULTS
  A representative set of 14 quality indicators was selected from 48 initial guideline recommendations. Indicators concerned both professional performance and organisation of care for patients with hypertension in pregnancy.
  
  
  CONCLUSIONS
  This study describes the systematic, stepwise method used to develop quality indicators that can be used to monitor care for hypertensive diseases in pregnancy.
authors.affiliation: EMGO+ Institute for Health and Care Research, VU University, Amsterdam, the Netherlands; Obstetrics and Gynaecology, Vrije University Medical Centre Amsterdam, Amsterdam, the Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: Luitjes
authors.affiliation: Obstetrics and Gynaecology, Vrije University Medical Centre Amsterdam, Amsterdam, the Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Wouters
authors.affiliation: Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht, the Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Franx
authors.affiliation: Obstetrics and Gynaecology, Vrije University Medical Centre Amsterdam, Amsterdam, the Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Bolte
authors.affiliation: Obstetrics and Gynaecology, Vrije University Medical Centre Amsterdam, Amsterdam, the Netherlands.
authors.forename: C
authors.initials: C
authors.lastname: de Groot
authors.affiliation: EMGO+ Institute for Health and Care Research, VU University, Amsterdam, the Netherlands; Department of Health Sciences, Faculty of Earth & Life Sciences, VU University, Amsterdam, the Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van Tulder
authors.affiliation: Scientific Institute for Quality of Health Care (IQ healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Hermens