ABRS is a highly prevalent disease that is treated by a variety of specialties, including but not limited to family physicians, emergency physicians, otolaryngology. Despite high-quality guidelines, variable and substandard care continues to be demonstrated in the treatment of ABRS.
This study aimed to develop ABRS-specific QIs to evaluate the diagnosis and management that reduces symptoms, improves life quality, and prevents complications.
CIs were extracted from 4 guiding documents and evaluated using the AGREE II tool. Each CI and its supporting evidence were summarized and reviewed by an expert panel based on validity, reliability, and measurement feasibility. Final QIs were selected.
Twenty-nine CIs were identified after the literature review and evaluated by our panel. Of these, 5 CIs reached consensus as being appropriate QIs, with 1 requiring additional discussion. After the second round of evaluations, the committee selected 7 QIs as proper measures of high-quality care.
This study concluded that 7 QIs for the diagnosis and management of patients with ABRS. These QIs can serve multiple purposes, including documenting the quality of care, comparing institutions and providers, prioritizing quality improvement initiatives, supporting accountability, regulation, accreditation, and determining pay for performance initiatives.