Evidence map›Paper›PMID 41094459›Full record

ArticleBMC palliative care2025

Development of a quality indicator set for day hospices in Germany - a multi-stage, quality-assured review of German guidelines and quality indicator sets.

Ulrich Kaiser, Ursula Vehling-Kaiser, Ana Hoffmann, Felix Kaiser, Michael Rechenmacher, Eleène Kaiser, Romina Chalupper, Moritz Fiedler, Florian Kaiser

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ulrich KaiserClinic and Polyclinic for Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Ursula Vehling-KaiserVK&K Studien GbR, Landshut, Germany.
Ana HoffmannVK&K Studien GbR, Landshut, Germany.
Felix KaiserVK&K Studien GbR, Landshut, Germany.
Michael RechenmacherClinic and Polyclinic for Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Eleène KaiserDay Hospice Adiuvantes gGmbH, Vilsbiburg, Germany.
Romina ChalupperVK&K Studien GbR, Landshut, Germany.
Moritz FiedlerDay Hospice Adiuvantes gGmbH, Vilsbiburg, Germany.
Florian KaiserVK&K Studien GbR, Landshut, Germany. florian.kaiser@vehling-kaiser.de.

Funding

Bavarian State Ministry of Health and Care G46e-K9200.1-2022/35 - 2
6 · The paper itself

Abstract

backgroundDay hospices are an emerging component of outpatient palliative care in Germany. However, a standardized quality management system utilizing defined quality indicators has not yet been implemented. This study aimed to develop a new set of quality indicators for day hospices.

methodsThrough a multi-phase, quality-assured review, we screened validated quality indicators from German-language S3 guidelines and established quality indicator sets, including the Quality Indicator System for Outpatient Care (QISA) and Outpatient Quality Indicators and Key Figures (AQUIK) based on defined criteria for their relevance to day hospices. Selected indicators were analyzed by a validated and operationalized evaluation tool (QUALIFY) for their applicability to day hospices by an expert panel and subsequently finalized through a nominal group process.

resultsA total of 19 quality indicators, suitable for quality assurance of day hospices were identified from 482 potential quality indicators drawn from 29 S3 guidelines and 11 quality indicator sets. Of these, 13 indicators pertained to process quality, while 6 addressed structural quality. Indicators for the outcome quality were either not available or not suitable for a day hospice. The 463 not selected indicators were excluded mainly due to possible mismanagement or lack of reference to the goals and tasks of a day hospice.

conclusionsThe newly developed quality indicator set provides a robust framework for assessing and comparing the quality of care in German day hospices. Nevertheless, ongoing refinement and practical evaluation are necessary to ensure its relevance and effectiveness in routine clinical settings.

trial registrationThe study was registered as part of the IMPULS-Study in the German Register of Clinical Studies (DRKS-ID: DRKS00031613; Date of registration: 04 April 2023) and the Display portal of the Center for Clinical Studies of the University Hospital Regensburg (Z-2022-1734-6; Date of registration: 01 October 2022).

Indexed as

Guidelines as TopicHospicesQuality Assurance, Health CareQuality Indicators, Health CareGermanyHumansDay hospicePalliative careQuality indicatorQuality managementStructural quality

Identifiers

PMID41094459
PMCPMC12529828

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.