Quality Metrics in Neonatal and Pediatric Critical Care Transport

Schwartz, Hamilton P.; Bigham, Michael T.; Schoettker, Pamela J.; Meyer, Keith; Trautman, Michael S.; Insoft, Robert M.

doi:10.1097/pcc.0000000000000477

Cited by 58 publications

(25 citation statements)

References 14 publications

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“…The mortality rate in our study group was more favourable, 11% (NUiT) vs 25% shown in the previous studies (23,24). The hypothermia rates of 6% on admission are within international benchmarking standards (26). This may be attributed to the high degree of specialisation of both medical and nursing staff particularly with regard to thermal management of the ELBW baby and a great degree of centralisation, preventing dilution of resources and clinical commitment in NSW and ACT (27).…”

Section: Discussionmentioning

confidence: 40%

Feasibility and utility of portable ultrasound during retrieval of sick preterm infants

et al. 2017

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Section: Discussionmentioning

confidence: 40%

Feasibility and utility of portable ultrasound during retrieval of sick preterm infants

et al. 2017

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“…Bigham and colleagues introduced a consensus-based list of pediatric transport quality metrics 18,19 with the aim to provide a truncated list of metrics to measure and track quality of care. While there is some overlap with our event indicators, our goals differed.…”

Section: Discussionmentioning

confidence: 99%

“…We conducted a Delphi-questionnaire process and consensus meeting to review and establish definitions for the indicators identified by the initial study. 8 In the absence of a standardized methodology, our protocol was developed after a literature review of consensus meetings that applied a Delphi methodology [9][10][11][12][13][14][15][16][17][18][19] and consultation with local researchers who had experience with the design and coordination of consensus meetings. 20,21 Approval for this consensus process was obtained from the Institutional Review Board at the Children's Hospital of Eastern Ontario.…”

Section: Methodsmentioning

confidence: 99%

Defining Significant Events for Neonatal and Pediatric Transport: Results of a Combined Delphi and Consensus Meeting Process

Gunz

McNally

Whyte

et al. 2016

J Pediatr Intensive Care

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Objective To develop standardized definitions for a list of indicators that represent significant events during pediatric transport, which were previously identified by a national Delphi study. Methods We designed a three-phase consensus process that applied Delphi methodology to a combination of electronic questionnaires and a live consensus meeting. Results Thirty-one pediatric transport experts evaluated a total of 59 indicators. Twenty-four indicators represented events or interventions that did not require definition. One indicator was removed from the list. Definitions for the remaining 34 indicators were developed. Conclusion This standardized indicator list is intended for application to quality improvement and clinical research initiatives.

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“…Variables rated ≥4 by more than 70% of the experts were included in the template draft and presented to the experts [18,19]. In addition, the experts received a number of questions pertaining to the wording of questions, consent to delete some questions because of overlap, relevance of alternatives under a main question, and whether there should be a free-text field for addressing key lessons.…”

Section: Round IIImentioning

confidence: 99%

Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Tønsager

Krüger

Ringdal

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: Physician-staffed emergency medical services (p-EMS) are resource demanding, and research is needed to evaluate any potential effects of p-EMS. Templates, designed through expert agreement, are valuable and feasible, but they need to be updated on a regular basis due to developments in available equipment and treatment options. In 2011, a consensus-based template documenting and reporting data in p-EMS was published. We aimed to revise and update the template for documenting and reporting in p-EMS. Methods: A Delphi method was applied to achieve a consensus from a panel of selected European experts. The experts were blinded to each other until a consensus was reached, and all responses were anonymized. The experts were asked to propose variables within five predefined sections. There was also an optional sixth section for variables that did not fit into the pre-defined sections. Experts were asked to review and rate all variables from 1 (totally disagree) to 5 (totally agree) based on relevance, and consensus was defined as variables rated ≥4 by more than 70% of the experts.Results: Eleven experts participated. The experts generated 194 unique variables in the first round. After five rounds, a consensus was reached. The updated dataset was an expanded version of the original dataset and the template was expanded from 45 to 73 main variables. The experts approved the final version of the template.Conclusions: Using a Delphi method, we have updated the template for documenting and reporting in p-EMS. We recommend implementing the dataset for standard reporting in p-EMS.

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Quality Metrics in Neonatal and Pediatric Critical Care Transport

Cited by 58 publications

References 14 publications

Feasibility and utility of portable ultrasound during retrieval of sick preterm infants

Feasibility and utility of portable ultrasound during retrieval of sick preterm infants

Defining Significant Events for Neonatal and Pediatric Transport: Results of a Combined Delphi and Consensus Meeting Process

Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

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