Methodology minute: Utilizing the RAND/UCLA appropriateness method to develop guidelines for infection prevention

Charles, Karina; Hall, Lisa; Ullman, Amanda; Schults, Jessica

doi:10.1016/j.ajic.2021.12.012

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…The years of methodological work on the RAM culminated in a publication of the users’ manual for conducting modified-Delphi panels in 2001 [ 18 ]. RAM had a profound impact on how health care quality has been assessed and how clinical practice guidelines have been developed around the world [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Disciplinary trends in the use of the Delphi method: A bibliometric analysis

Khodyakov,

Grant,

Kroger

et al. 2023

PLoS ONE

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The Delphi method is an iterative, anonymous, group-based process for eliciting and aggregating opinion on a topic to explore the existence of consensus among experts. The year 2023 marks the 60th anniversary of the first peer-reviewed journal article on the Delphi method. Originally developed for operations research, this method is now applied extensively by researchers representing diverse scientific fields. We used a bibliometric analysis to describe general trends in the expansion of its use across disciplines over time. We conducted a systematic literature search for all English-language, peer-reviewed journal articles on the Delphi method through its first 60 years. We found 19,831 articles: 96.8% (n = 19,204) on the actual use of the Delphi method in an empirical study and 3.2% (n = 627) describing, examining, or providing some guidance on how to use the Delphi method. Almost half (49.9%) of all articles were published in the 2010s and an additional third (32.5%) in the first few years of the 2020s. Nearly two-thirds (65%, n = 12,883) of all published articles have appeared in medical journals, compared to 15% in science and technology (n = 3,053) or social science (n = 3,016) journals. We conclude that the expanded use of the Delphi method has been driven largely by the medical field, though social scientists and technologists continue to be at the forefront of methodological work on the Delphi method. Therefore, we call for greater transdisciplinary collaboration on methodological guidance and standards for the Delphi method.

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Section: Discussionmentioning

confidence: 99%

Disciplinary trends in the use of the Delphi method: A bibliometric analysis

Khodyakov,

Grant,

Kroger

et al. 2023

PLoS ONE

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Implementing paediatric appropriate use criteria for endotracheal suction to reduce complications in mechanically ventilated children with respiratory infections

Schults,

Charles,

Harnischfeger

et al. 2024

Australian Critical Care

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Expert Panel Consensus on the Effectiveness and Implementation of Models to Support Posthospitalization Care Transitions for People With Substance Use Disorders

Incze,

Huebler,

Szczotka

et al. 2024

J Addict Med

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Objectives Hospitals are increasingly offering treatment for substance use disorders (SUDs) during medical admissions. However, there is a lack of consensus on the best approach to facilitating a successful transition to long-term medical and SUD care after hospitalization. We aimed to establish a hierarchy of existing SUD care transition models in 2 categories—effectiveness and implementation—using an expert consensus approach. Methods We conducted a modified online Delphi study that convened 25 interdisciplinary clinicians with experience facilitating posthospitalization care transitions for patients with SUD. Panelists rated 10 prespecified posthospitalization care transition models according to 6 criteria concerning each model’s anticipated effectiveness (eg, linkage to care, treatment retention) and implementation (eg, feasibility, acceptability). Ratings were made on a 9-point bidirectional scale. Group consensus was determined using the interpercentile range adjusted for symmetry. Results After 3 rounds of the Delphi process (96% retention across all 3 rounds), consensus was reached on all 60 rating criteria. Interdisciplinary addiction consult teams (ACTs) and in-reach from partnering outpatient clinics were rated highest for effectiveness. Interdisciplinary ACTs and bridge clinics were rated highest for implementation. Screening, brief intervention, and referral to treatment; protocol implementation; and postdischarge outreach received the lowest ratings overall. Feasibility of implementation was perceived as the largest challenge for all highly rated models. Conclusions An expert consensus approach including diverse clinician stakeholders found that interdisciplinary ACT, in-reach from partnering outpatient clinics, and bridge clinics had the greatest potential to enhance posthospitalization care transitions for patients with SUD when considering both perceived effectiveness and implementation.

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Methodology minute: Utilizing the RAND/UCLA appropriateness method to develop guidelines for infection prevention

Cited by 3 publications

References 19 publications

Disciplinary trends in the use of the Delphi method: A bibliometric analysis

Disciplinary trends in the use of the Delphi method: A bibliometric analysis

Implementing paediatric appropriate use criteria for endotracheal suction to reduce complications in mechanically ventilated children with respiratory infections

Expert Panel Consensus on the Effectiveness and Implementation of Models to Support Posthospitalization Care Transitions for People With Substance Use Disorders

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