Table 3 Barriers to implementation of quality indicators
From: A scoping review of registry captured indicators for evaluating quality of critical care in ICU
| Barriers identified | References |
|---|---|
| Operational Barriers | |
|
• Concerns about inaccuracy associated with retrospective data entry • Time burden of data collection • Bias/ inability to reproduce/ verify data due to manual data collection • Poor replicability of data extraction process. • Data missingness | [29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51] |
| Acceptability Barriers | |
|
• Indicator definition unactionable. • Required processes of care associated with indicator not measured limiting interpretability • Data quality concerns about self-reporting and responder biases • Concerns about the ramifications for individual clinician and ICU team performance | [35, 36, 40, 46, 52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71] |