| Achieving consensus in follow-up practice for routine ENT procedures: a Delphi exercise. | |
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MedLine Citation:
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PMID: 21223529 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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J Powell; H El Dean; S Carrie; J A Wilson; V Paleri |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-11 |
Journal Detail:
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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:
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Created Date: 2011-1-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101247023 Medline TA: Clin Otolaryngol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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