title: [Validation and adhesion to GESIDA quality indicators in patients with HIV infection].
abstract: BACKGROUND
  The objective of the study is to validate the relevant GESIDA quality indicators for HIV infection, assessing the reliability, feasibility and adherence to them.
  
  
  METHODS
  The reliability was evaluated using the reproducibility of 6 indicators in peer review, with the second observer being an outsider. The feasibility and measurement of the level of adherence to the 22 indicators was conducted with annual fragmented retrospective collection of information from specific databases or the clinical charts of the nine participating hospitals.
  
  
  RESULTS
  Reliability was very high, with interobserver agreement levels higher than 95% in 5 of the 6 indicators. The median time to achieve the indicators ranged between 5 and 600minutes, but could be achieved progressively from specific databases, enabling obtaining them automatically. As regards adherence to the indicators related with the initial evaluation of the patients, instructions and suitability of the guidelines for ART, adherence to ART, follow-up in clinics, and achieve an undetectable HIV by PCR at week 48 of the ART. Indicators of quality related to the prevention of opportunistic infections and control of comorbidities, the standards set were not achieved, and significant heterogeneity was observed between hospitals.
  
  
  CONCLUSIONS
  The GESIDA quality indicators of HIV infection enabled the relevant indicators to be feasibly and reliably measured, and should be collected in all the units that care for patients with HIV infection.
authors.affiliation: Servicio de Enfermedades Infecciosas, Departamento de Medicina Interna, Hospital Universitari Son Espases, IDIPSA, Palma de Mallorca, Islas Baleares, España. Electronic address: melchor.riera@ssib.es.
authors.forename: Melchor
authors.initials: M
authors.lastname: Riera
authors.affiliation: Fundación SEIMC, GESIDA, Madrid, España.
authors.forename: Herminia
authors.initials: H
authors.lastname: Esteban
authors.affiliation: UGC de Enfermedades Infecciosas, Complejo Hospitalario Universitario de Huelva, Huelva, España.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Suarez
authors.affiliation: Unidad de Enfermedades Infecciosas, Hospital Virgen de la Victoria, Málaga, España.
authors.forename: Rosario
authors.initials: R
authors.lastname: Palacios
authors.affiliation: Hospital Universitario de Valme, Sevilla, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Lozano
authors.affiliation: Departamento de Enfermedades Infecciosas, Hospital San Pedro, Logroño, La Rioja, España.
authors.forename: Jose R
authors.initials: JR
authors.lastname: Blanco
authors.affiliation: Hospital Carlos III-Hospital La Paz, Madrid, España.
authors.forename: Eulalia
authors.initials: E
authors.lastname: Valencia
authors.affiliation: Hospital Xeral de Vigo, Vigo, Pontevedra, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ocampo
authors.affiliation: Hospital Marina Baixa, Villajoyosa, Alicante, España.
authors.forename: Concha
authors.initials: C
authors.lastname: Amador
authors.affiliation: Unidad de Investigación, IDIPSA, Palma de Mallorca, Islas Baleares, España.
authors.forename: Guillem
authors.initials: G
authors.lastname: Frontera
authors.affiliation: Hospital Universitario Donostia, Donostia, Gipuzkoa, España.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: vonWichmann-de Miguel
mesh_terms: D005240:Feasibility Studies; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D019984:Quality Indicators, Health Care / Q000592:standards*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology
keywords: Human immunodeficiency virus; Indicadores de atención de calidad; Mejora cualitativa; Monitoring system; Quality care indicators; Quality improvement; Sistemas de monitorización; Virus de la inmunodeficiencia humana