| Key components of anaphylaxis management plans: consensus findings from a national electronic Delphi study. | |
| | |
MedLine Citation:
|
PMID: 21103134 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVES: There is no international consensus on the components of anaphylaxis management plans and responsibility for their design and delivery is contested. We set out to establish consensus among relevant specialist and generalist clinicians on this issue to inform future randomized controlled trials. DESIGN: A two-round electronic Delphi study completed by a 25-person, multidisciplinary expert panel. Participants scored the importance of a range of statements on anaphylaxis management, identified from a systematic review of the literature, on a five-point scale ranging from 'very important' to 'irrelevant'. Consensus was defined a priori as being achieved if 80% or more of panel members rated a statement as 'important' or 'very important' after Round 2. SETTING: Primary and secondary care and academic settings in the UK and Ireland. PARTICIPANTS: Twenty-five medical, nursing and allied health professionals. MAIN OUTCOME MEASURES: Consensus on the key components of anaphylaxis management plans. RESULTS: The response rate was 84% (n = 21) for Round 1 and 96% (n = 24) for Round 2. The key components of emergency care on which consensus was achieved included: awareness of trigger factors (100%); recognition and emergency management of reactions of different severity (100%); and clear information on adrenaline (epinephrine) use (100%). Consensus on longer-term management issues included: clear written guidelines on anaphylaxis management (96%); annual review of plans (87%); and plans that were tailored to individual needs (82%). CONCLUSIONS: This national consensus-building exercise generated widespread agreement that emergency plans need to be simple, clear and generic, making them easy to implement in a crisis. In contrast, long-term plans need to be negotiated between patient/carers and professionals, and tailored to individual needs. The effectiveness of this expert-agreed long-term plan now needs to be evaluated rigorously. |
| | |
Authors:
|
Allison Worth; Ulugbek Nurmatov; Aziz Sheikh |
Related Documents
:
|
20181234 - Factors influencing implementation of the ministry of health-led private medicine retai... 11407124 - Consumer focus can spur group practice turnaround. 15878774 - Management commitment to safety as organizational support: relationships with non-safet... 10182274 - Improving the financial performance of ids-owned physician practices. 18595684 - Assessment of the status of municipal solid waste management in metro cities, state cap... 9258544 - Percutaneous blood exposure among danish doctors: exposure mechanisms and strategies fo... |
Publication Detail:
|
Type: Journal Article Date: 2010-10-13 |
Journal Detail:
|
Title: JRSM short reports Volume: 1 ISSN: 2042-5333 ISO Abbreviation: JRSM Short Rep Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101536254 Medline TA: JRSM Short Rep Country: England |
Other Details:
|
Languages: eng Pagination: 42 Citation Subset: - |
Affiliation:
|
Allergy & Respiratory Research Group, Centre for Population Health Sciences: General Practice Section, The University of Edinburgh, Medical School , Teviot Place, Edinburgh EH8 9AG , UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The World Health Organization's 'Surgical Safety Checklist': should evidence-based initiatives be en...
Next Document: Differential prognostic utility of NTproBNP and Cystatin C in patients with acute exacerbation of ch...