«Do Not Do» recommendations for retinopathies : A mixed consensus study

Copyright © 2021 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved..

PURPOSE: Among the main causes of blindness and severe vision loss are age-related macular degeneration, diabetic macular oedema, and retinal vein occlusion. The «Do Not Do» recommendations are strategies to improve quality of care and optimise healthcare costs. The aim of this study was to establish, by consensus, practices of low value in the above-mentioned pathologies, in addition to estimating their occurrence.

MATERIALS AND METHODS: Mixed methods study including a first phase of consensus of a multidisciplinary panel of experts using the Nominal Group technique. In the second phase, a retrospective observational study was conducted, by conducting a review of medical records.

RESULTS: A total of 7 recommendations were established for age-related macular degeneration, 4 for diabetic macular oedema, and 5 for retinal vein occlusion. A total of 1,012 medical records were reviewed by the 4 participating hospitals. The review of medical records revealed that agreed «Do Not Do's» occurred in a range between 0.6% and 31.4% of the cases included in the study.

CONCLUSIONS: This study identified «Do Not Do» recommendations in these pathologies that occur relatively often in clinical practice. It is necessary to review the healthcare processes that will enable these practices to be eradicated, and the quality of care to be improved.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:96

Enthalten in:

Archivos de la Sociedad Espanola de Oftalmologia - 96(2021), 11 vom: 22. Nov., Seite 578-586

Sprache:

Englisch

Beteiligte Personen:

Pablo, L [VerfasserIn]
Beckford, C A [VerfasserIn]
Martin-Delgado, J [VerfasserIn]
Ferro Osuna, M [VerfasserIn]
Fernández-Ferreiro, A [VerfasserIn]
Fernández Rodriguez, M I [VerfasserIn]
Rodriguez Cid, M J [VerfasserIn]
Méndez, S [VerfasserIn]
Torres, A [VerfasserIn]
Ignacio, E [VerfasserIn]
Mira, J J [VerfasserIn]

Links:

Volltext

Themen:

Aseguramiento de la calidad
Degeneración macular
Diabetic eye disease
Edema macular diabético
Journal Article
Low-value practice
Macular degeneration
Oclusión venosa de la retina
Patient safety
Quality assurance
Retinal vein occlusions
Review
Right care
Seguridad del paciente

Anmerkungen:

Date Completed 12.11.2021

Date Revised 12.11.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.oftale.2021.01.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332942422