Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Care concepts during the latent phase of labour: A scoping review","authors":"Caro Jeltsch,&nbsp;Svea Schmidt,&nbsp;Oda von Rahden,&nbsp;Frauke Koppelin,&nbsp;Birte Berger-Höger","doi":"10.1016/j.zefq.2026.03.003","DOIUrl":"10.1016/j.zefq.2026.03.003","url":null,"abstract":"<div><h3>Background</h3><div>Optimal care concepts for the latent phase of labour are often lacking and inconsistent. Early hospital admission is not recommended because it is associated with higher intervention rates. Sustainable (home-based) care concepts for this phase are therefore needed.</div></div><div><h3>Objective</h3><div>To identify and describe existing concepts for supporting women during the latent phase of labour with regard to their objectives, measures, and intended outcome parameters for evaluation.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following JBI methodology and reported according to PRISMA-ScR. A systematic literature search was performed in Medline (PubMed), CINAHL (EBSCOhost), Cochrane, Cordis, and Scopus. Study selection, data extraction, and analysis were conducted independently by two reviewers.</div></div><div><h3>Results</h3><div>Of the 2,320 records identified, 31 publications describing 15 care concepts were included. Interventions were grouped into inpatient care, outpatient care, and asynchronous support formats. Most concepts focused on hospital-based care and combined multiple components for autonomous use after initial guidance by a health care professional. Intended outcomes included reduced labour duration, increased satisfaction, reduced staff workload, and fewer hospital admissions during the latent phase. Four interventions used exclusively asynchronous digital formats; three were associated with reduced labour augmentation and increased birth satisfaction.</div></div><div><h3>Discussion</h3><div>The concepts varied widely in content, delivery methods, and objectives, reflecting different care contexts and health systems. Further evaluation of effectiveness and careful consideration of objectives are essential when developing future care concepts for the latent phase.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 62-76"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Niedrigprioritäre Einsätze im Rettungsdienst: Vorgesehene und tatsächliche Disposition von Ressourcen in einer deutschen integrierten Leitstelle nach Einführung einer standardisierten Notrufabfrage. Eine retrospektive Analyse der Leitstellendaten","authors":"Stefan Thate,&nbsp;Johanna Sophie Lubasch,&nbsp;Christopher Plata,&nbsp;Kadriye Gülöz,&nbsp;Elias Wolfgang Eisenreich,&nbsp;Rainer Röhrig,&nbsp;Insa Seeger","doi":"10.1016/j.zefq.2026.03.006","DOIUrl":"10.1016/j.zefq.2026.03.006","url":null,"abstract":"<div><h3>Background</h3><div>A significant proportion of calls to Emergency Dispatch Centers (EDCs) are classified as low-priority calls (LPCs). This study examines LPCs detected in an EDC through a standardized emergency call query and the degree of fulfilment between planned and actual dispatching.</div></div><div><h3>Method</h3><div>This retrospective prevalence study uses descriptive and exploratory data analysis to examine data from the routine documentation of the emergency dispatch system (EDS) and the standardized emergency call system of an EDC. The primary endpoint of the study is the frequency of LPCs for assistance and their standardized assignment to the appropriate care structures of medical on-call services (provided by the Association of Statutory Health Insurance Physicians, ASHIP) and community paramedics (CPs).</div></div><div><h3>Results</h3><div>Just under 10% of the calls handled with a standardized emergency call query were LPCs. Of these, 54.0% fell within the remit of the ASHIP and 41.1% within the remit of EMS. In areas without CPs, an ALS ambulance was dispatched twice as often as in areas with such a system (85.9% versus 41.6%). Also, a difference was found regarding the subsequent transport to a hospital (57.4% vs. 29%). There were only minor differences in utilization between day (49.2%) and night (50.8%).</div></div><div><h3>Conclusion</h3><div>The data examined support the current approach to reforming cross-sectoral emergency care services. Detecting LPCs will only lead to a needs-based care if suitable downstream resources are available at all times. The control of all outreach care resources by the EDC could prevent disruptions at sector boundaries.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 77-86"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(26)00133-9","DOIUrl":"10.1016/S1865-9217(26)00133-9","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Page ii"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148529080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(26)00137-6","DOIUrl":"10.1016/S1865-9217(26)00137-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Page OBC"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148529081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gesundheitliche Voraussetzungen von Grundschüler:innen in sozialräumlich ausgewählten Schulen im Land Bremen","authors":"Lisa Kühne,&nbsp;Tatiana Mamontova,&nbsp;Eva Quante-Brandt","doi":"10.1016/j.zefq.2026.03.010","DOIUrl":"10.1016/j.zefq.2026.03.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The public health department can address inequalities through social space-oriented health promotion when findings from health reporting, social monitoring, and other healthcare data are combined. In the federal state of Bremen, school nurses are employed at elementary schools which are prioritized according to the social index and the results of school entry examinations. This article describes the health conditions of the target group of children addressed by school nurses by offering health promoting interventions.</div></div><div><h3>Methods</h3><div>Selected data from school entry examinations and the AOK health insurance fund in Bremen/Bremerhaven were processed anonymously. The sample includes children who started school between 2018 and 2022 in schools supervised by health professionals, as well as AOK policyholders aged 6 to 11 in the school years 2018/2019 up to 2021/22 living in the catchment areas of these elementary schools. Physical development is presented over time and in subgroups.</div></div><div><h3>Results</h3><div>On average, 1,135 preschoolers and 5,008 elementary school pupils per school year were included. At the school entry examinations, 20% of the children were overweight. This proportion increased at the start of the 2021 school year before returning to normal in the following year.</div><div>Compared to girls, boys are more likely to experience difficulties with body coordination when they start school (n = 4,190; chi-square = 39.3839), and are more likely to require speech therapy (IRR = 2.25; 95% CI: 1.71–2.95) and occupational therapy (IRR = 4.39; 95% CI: 2.87–6.72) later on. At elementary school age, diagnoses of behavioral and emotional disorders were twice as common in boys than in girls (IRR = 1.99; 95% CI: 1.92–2.06) and were found twice as often in children with German nationality than in children of other nationalities (IRR = 2.02; 95% CI: 1.94–2.10).</div></div><div><h3>Discussion</h3><div>The health data indicate the specific needs of children in the selected elementary schools. School nurses promote healthy behavior in the school setting and can also act as guides in the healthcare system, helping families to identify abnormalities early on and, if necessary, seek appropriate treatment. School nurses support children in growing up healthy and thus aim to achieve health equity in the federal state of Bremen in the long term.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 53-61"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fehlende Replikation von Studienergebnissen in der Evidenzbewertung mit GRADE","authors":"Kevin Rudolf,&nbsp;Corinna Kiefer,&nbsp;Alexandra Korzeczek-Opitz,&nbsp;André Wilmer,&nbsp;Sarah Thys","doi":"10.1016/j.zefq.2026.03.007","DOIUrl":"10.1016/j.zefq.2026.03.007","url":null,"abstract":"<div><h3>Background</h3><div>The Institute for Quality and Efficiency in Health Care (IQWiG) can support guideline groups by producing evidence reports. These reports summarize the available evidence on specific issues.</div></div><div><h3>Methods</h3><div>To this end, the IQWiG uses, among other things, the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach in accordance with its mandate. In this approach, the reliability of the evidence is assessed on the basis of various factors. These factors encompass study limitations, indirectness of the evidence, imprecision of the effect estimate, publication bias, and inconsistency of the results. The latter is assessed on the basis of the heterogeneity of the effect estimates of different studies on an outcome. However, in the event that only a single study is available for a given body of evidence, the assessment of inconsistency is not possible. Consequently, a discrepancy emerges between the bodies of evidence from single and multiple studies with respect to the number of factors that can diminish the certainty of evidence and potentially result in an overly optimistic appraisal of the certainty of evidence from single studies.</div></div><div><h3>Results</h3><div>This paper describes IQWiG’s new methodological approach in evidence reports of assigning evidence from single randomized controlled trials (RCTs) a moderate certainty of evidence as a starting point at the beginning of the assessment. The evidence bodies from multiple RCTs continue to begin the assessment process with a high certainty of evidence, consistent with the GRADE approach. From this initial starting point, the certainty of evidence is then subjected to a comprehensive evaluation, incorporating additional factors, and is subsequently downgraded if deemed necessary.</div></div><div><h3>Discussion and conclusion</h3><div>The next step is to further develop the minimum requirements for studies that are used for replication.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 1-5"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Die Weiterbildungssituation in der Facharztweiterbildung Allgemeinmedizin in Bayern und die Rolle des Kompetenzzentrums Weiterbildung Allgemeinmedizin: Eine vergleichende Querschnittstudie","authors":"Selina Dural,&nbsp;Simona Maspero,&nbsp;Alexander Hapfelmeier,&nbsp;Michael Merkle,&nbsp;Marco Roos,&nbsp;Antonius Schneider","doi":"10.1016/j.zefq.2026.04.002","DOIUrl":"10.1016/j.zefq.2026.04.002","url":null,"abstract":"<div><h3>Background</h3><div>The shortage of family medicine physicians in Bavaria creates a growing challenge to primary healthcare. The Bavarian Competence Center for Postgraduate Medical Training in Family Medicine (KWAB) supports physicians in postgraduate training (PPTs) through targeted educational programs and professional networking.</div></div><div><h3>Objective</h3><div>A comparison of PPTs with (KW⁺) and without (KW⁻) KWAB affiliation was performed to identify differences and develop targeted strategies to improve postgraduate training.</div></div><div><h3>Methods</h3><div>In a cross-sectional study, 350 PPTs were questioned using a standardized online questionnaire addressing self-assessed competencies, willingness to establish a practice, job satisfaction, and work-life balance. Of these, 160 were enrolled in the KWAB and 190 were not enrolled. Overall, 73% of participants were female, and the mean age was 36 years. Data analysis included t-tests and multivariable regression models to compare KWAB users and non-users.</div></div><div><h3>Results</h3><div>The KW⁺ group members rated their professional competencies significantly higher than KW⁻ members (p = 0.045). Willingness to become a community- or office-based physician showed no significant difference although KWAB users demonstrated a stronger preference for rural areas. Overall job satisfaction was high, with KWAB users reporting significantly higher personal rewards (p = 0.015). No significant differences were found in work–life balance, but participants working in the outpatient sector reported a better balance (p = 0.007).</div></div><div><h3>Discussion</h3><div>The findings suggest that KWAB positively influences the postgraduate training experience of PPTs, contributing to the development of a professional identity in family medicine.</div></div><div><h3>Conclusion</h3><div>KWAB has a role in fostering competencies and motivation among PPTs and thereby supports family medicine care in Bavaria.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 44-52"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problem-based learning in the age of generative AI: A structured blueprint for medical curricula","authors":"Rauf Safarov,&nbsp;Jens Wippermann,&nbsp;Frank Meyer,&nbsp;Max Wacker","doi":"10.1016/j.zefq.2026.03.012","DOIUrl":"10.1016/j.zefq.2026.03.012","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Problem-based learning (PBL) is a well-established approach in medical education. In small groups, students work on real clinical cases with a high level of self-responsibility. Rooted in constructivist learning theory and the Socratic method, PBL promotes active knowledge construction, clinical reasoning, self-directed learning, and motivation. Instructors act as facilitators, guiding the group without dominating, which fosters independent learning and peer collaboration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Narrative review including novel conceptual ideas on PBL using the options of AI plus representative references from the scientific literature and initial personal experiences from teaching practice in human medicine.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results (corner points)&lt;/h3&gt;&lt;div&gt;Extensive evidence shows that PBL is particularly effective in enhancing clinical skills, critical thinking, and student satisfaction. However, its impact on theoretical knowledge remains mixed. Research suggests that PBL is more effective for advanced students who already possess a foundational knowledge base and are capable of self-directed learning. This highlights the importance of aligning PBL with the learner’s developmental stage through thoughtful curriculum design.&lt;/div&gt;&lt;div&gt;The rapid advancement of artificial intelligence (AI) offers new opportunities to enhance the PBL model. AI-driven tools have the potential to support personalized learning, provide real-time feedback, and simulate complex clinical scenarios, bringing PBL to a new level of effectiveness and adaptability in modern medical education.&lt;/div&gt;&lt;div&gt;Another significant potential of generative AI, particularly when combined with effective prompt engineering, lies in its ability to efficiently generate realistic clinical scenarios. This can greatly support tutors by reducing the time and effort required to design complex case studies. AI-generated scenarios can be reviewed and refined by educators, ultimately leading to a diverse and adaptable series of clinical cases.&lt;/div&gt;&lt;div&gt;Moreover, generative AI offers the possibility not only to create the textual content of clinical cases but also to enhance them through multimedia elements. By incorporating dynamic visuals, audio, and video materials, AI can help create immersive and engaging learning environments. This makes clinical case discussions more realistic, interactive, and stimulating for students, further enriching the PBL experience.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The combination of established teaching methods such as PBL with the innovations of generative AI opens up new possibilities for a modern era of medical education. While human mentoring and tutoring remain essential, the integration of AI can enhance the PBL approach and make it more engaging and dynamic for students.&lt;/div&gt;&lt;div&gt;Further medical education research, especially prospective studies, is necessary to test this hypothesis and explore how AI-supp","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 87-96"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapeutischer Direktzugang – ein Versorgungsmodell für Deutschland? Eine qualitative Analyse von Expert*innenperspektiven zur Relevanz und Machbarkeit","authors":"Anne Jarck,&nbsp;Kerstin Lüdtke,&nbsp;Luka Marko Rašo,&nbsp;Katrin Balzer","doi":"10.1016/j.zefq.2026.03.008","DOIUrl":"10.1016/j.zefq.2026.03.008","url":null,"abstract":"<div><h3>Background</h3><div>In some countries, direct access to physiotherapy for patients with musculoskeletal complaints has been introduced in order to ensure needs-based care. Patients can seek physiotherapy treatment directly without a doctor’s prescription at the expense of their health insurance. Reviews show clinical advantages compared to referral-based access. The aim of this study was to investigate the need, possible care models and requirements for model projects of relevant stakeholders in Germany.</div></div><div><h3>Methods</h3><div>A qualitative study design was chosen to answer the research questions. Data collection involved a semi-structured, guide-assisted focus group and individual interviews on the perspectives of physiotherapy (n = 3), medicine (n = 3), patients (n = 2), payers (n = 4), politics (n = 2), and medical law (n = 2). Data were analyzed deductively-inductively using a thematic-structuring content analysis.</div></div><div><h3>Results</h3><div>A total of 16 people took part in 11 individual interviews and one focus group (n = 5). All the perspectives planned were represented. The interview results indicate very heterogeneous views on the perceived need for and the design of direct access. Model projects are mainly considered necessary and should be conducted with comparable methodology in several German federal states in various settings.</div></div><div><h3>Conclusion</h3><div>In the German context, where there is disagreement among stakeholders about the need for direct access to physiotherapy, there is a nationwide need for research to clarify unresolved issues through pilot projects. This study provides an overview of the perspectives and thereby essential information for the further development of healthcare in Germany.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 6-16"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weiterentwicklung der praktischen Umsetzung von Qualitätsindikatoren auf Palliativstationen in Deutschland – Ergebnisse einer Delphi-Befragung","authors":"Katharina van Baal,&nbsp;Alexandra Glizner,&nbsp;Franziska Schade,&nbsp;Stephanie Stiel","doi":"10.1016/j.zefq.2026.04.008","DOIUrl":"10.1016/j.zefq.2026.04.008","url":null,"abstract":"<div><h3>Introduction</h3><div>The <em>S3 Guideline on Palliative Care for Patients with Incurable Cancer</em> and the quality indicators (QIs) formulated therein are intended to contribute to improving palliative care for patients with incurable cancer. There are reservations and barriers to the practical implementation of the guideline content and QIs. To date, there have been no specific ideas for the further development of the implementation and feasibility of QIs from the S3 guideline on palliative care. The aim of this sub-project is to merge the results from the previous project phases and to agree on recommendations for improving the practical implementation of QIs in palliative care units.</div></div><div><h3>Methods</h3><div>Recommendations for the implementation of QIs in palliative care units were developed on the basis of a routine data analysis and the qualitative evaluation of two expert workshops. Experts in inpatient palliative care evaluated the recommendations in a Delphi survey via SoSci Survey in terms of relevance and feasibility (consensus threshold 75%). The evaluation is carried out using SPSS.</div></div><div><h3>Results</h3><div>Twenty-five experts participated in three Delphi rounds (48% female, average age 53 years). A total of 32 recommendations were agreed upon, 5 of which relate to QIs in general and thus to explanatory texts and calculation examples, to the scope of the application in the sense of the setting, meaning and purpose of QIs, to the application of individual assessments and to the wording of quality objectives. 20 recommendations specifically address individual QIs in the sense of, for example, scale values for symptom reduction, specific descriptions of the calculation of individual QIs, the definition of tumor-specific measures, and specific formulations. Seven other recommendations focus on documentation and assessments, including the applicability of documentation systems (automated determination of QIs, correct value designations), as well as multiple documentation and training for documentation and assessment implementation.</div></div><div><h3>Discussion</h3><div>The recommendations agreed upon highlight specific areas where change is needed and underline that there is room for improvement in terms of calculating and assessing the implementation of QIs in palliative care units. They provide targeted support to specific groups of people in improving the implementation and feasibility of QIs.</div></div><div><h3>Conclusion</h3><div>The recommendations provide empirically based guidance that may also be useful for the ongoing update process of the <em>S3 Guideline on Palliative Care for Patients with Incurable Cancer</em>, although further analysis is needed, particularly in other regions and care settings.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"203 ","pages":"Pages 17-30"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}