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  Quality circle
indicator selection
implementation strategy
measure actual care
barriers and facilitators
        Indicators Stepwise RAND-modified Delphi method
Step 1
• Extraction of guideline recommendations
• Translation into a questionnaire
Step 2
• Scoring recommendations by an expert panel
– ten-point Likert scale: 1= hardly relevant to 10 = extremely relevant – health gain, efficacy, measurability, room for improvement of care
• Prioritising recommendations using a top ten ranking scale
• Adding possible new recommendations
Campell et al., 2003
  Page 43 of 135
  PRECONGRESS COURSE 05 I BARCELONA, SPAIN – 1 JULY 2018 49
  

















































































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