Document Detail

Achieving consensus in follow-up practice for routine ENT procedures: a Delphi exercise.
MedLine Citation:
PMID:  21223529     Owner:  NLM     Status:  Publisher    
Objectives:  To generate consensus among faculty members regarding follow-up practice for well-defined clinical scenarios using a Delphi exercise and to identify if disseminating the consensus guidelines changed follow-up practice. Study Design:  Generation of consensus using a Delphi exercise and an audit of follow-up practice before and after dissemination of the resultant guidelines. Setting:  The department of Otorhinolaryngology-Head and Neck Surgery at the Freeman Hospital, Newcastle upon Tyne, UK Participants and methods:  Panel members for this exercise included 11 consultants and 2 associate specialists and one co-ordinator. We identified clinical scenarios where ≥80% agreement existed that routine follow-up appointments should not be made and subsequently disseminated guidelines widely to all medical staff. The follow-up rates for the scenarios where consensus existed regarding follow-up practice were audited from clinic letters before and after the guidelines were disseminated Main Outcome Measures:  Agreement on scenarios where routine follow up appointments should not be made was assessed using a Likert scale (1-5). Results:  Of 13 faculty members, 12 responded to rounds one and two, and 11 responded to round three. The Delphi exercise identified 18 clinical scenarios where there was ≥80% agreement on patients not routinely being followed up. Comparison of the follow-up practice prior to and after the Delphi exercise identified a reduction in follow-up for all 18 scenarios of 48%. Conclusion:  Consensus regarding routine follow-up can be reached by using the Delphi process in ENT practice. This can translate into a real change in clinical practice. Furthermore, this process could be applied for consensus building in other related areas.
J Powell; H El Dean; S Carrie; J A Wilson; V Paleri
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-11
Journal Detail:
Title:  Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery     Volume:  -     ISSN:  1749-4486     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247023     Medline TA:  Clin Otolaryngol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
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