![]() Little up to date information was found regarding validity, reliability and discriminative power of the QIs. For most QI sets, we found basic information regarding e.g., purpose, definition of the indicators, risk-adjustment, and stakeholders’ involvement in QIs’ selection. The most frequently reported indicators were pressure ulcers, falls, physical restraints, and weight loss. Each country used between six and 31 QIs. We identified eight countries publicly reporting a total of 99 health-related QIs covering 31 themes. Additionally, we found 17 websites publishing information on QIs. Of 23′344 identified records, 22 articles and one report describing 21 studies met the inclusion criteria. We used the Appraisal of Indicators through Research and Evaluation (AIRE) instrument for the methodological quality assessment of the identified QIs. The study aimed to answer the questions: 1) Which health-related QIs for residents in long-term care are currently publicly reported internationally? and 2) What is the methodological quality of these indicators? MethodsĪ systematic search was conducted in the electronic databases PubMed, CINAHL and Embase in October 2019 and last updated on August 31st, 2022. Knowledge regarding the current state of evidence on usage and methodological soundness of publicly reported clinical indicators of quality in nursing homes is needed. An increasing number of countries are using or planning to use quality indicators (QIs) in residential long-term care.
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