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DOI: 10.1055/s-0045-1809426
Key Performance Indicators Applied in Medicine
Authors
Funding The authors declare that the present study was funded by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP; process 2023/10201-5).

Abstract
Introduction
Key performance indicators (KPIs) measure the critical functions and activities that must be performed in an organization to provide management with an assessment of quantity and quality, from which it can aid strategic decisions to achieve objectives.
Objective
To map the literature review on KPIs in the context of medicine.
Methods
In the literature review, we adopted a proposed model and made appropriate adaptations to it. The PubMed database was chosen, with filters applied to define a path. The findings of the articles were briefly discussed in comparison with others to highlight specific findings.
Results
Almost 100 research articles were eligible for investigation in a wide range of third- and second-degree medical specialties. In these articles, the KPIs are numbered from 1 up to 797 qualitative and quantitative measures.
Conclusions
The KPIs are not limited to a financial regime; instead, in the field of medicine, they play an important role in a wide range of medical specialties, from clinics, therapeutics, surgery, pharmacy, research, regulatory affairs, hospitalization, management, and product development. These indicators can be implemented and evaluated by different means, from simple resources such as home visit, telephone survey, cross-comparison with a benchmark, questionnaires, spreadsheets, to the most sophisticated technology, such as IT resources, artificial intelligence, the linear hinges model, the Research and Development/University of California, Los Angeles (RAND/UCLA) appropriateness method, and the Monte Carlo simulation.
Keywords
health care quality indicators - institutional management teams - quality improvements - health services research - knowledge discoveryClinical Essay Registry
Authorization granted and expedited on 5 October 2023; reference number: 6.390.430.
Publication History
Received: 02 October 2024
Accepted: 11 March 2025
Article published online:
26 September 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil
Ricardo Ferreira Bento, Mara Edwirges Rocha Gândara, Silvio Pires Penteado. Key Performance Indicators Applied in Medicine. Int Arch Otorhinolaryngol 2025; 29: s00451809426.
DOI: 10.1055/s-0045-1809426
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