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Related Experiment Video

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Democracy-based consensus in medicine.

Massimiliano Greco1, Alberto Zangrillo2, Marta Mucchetti1

  • 1Department of Anesthesia and Intensive Care, IRRCS San Raffaele Scientific Institute, Milan, Italy.

Journal of Cardiothoracic and Vascular Anesthesia
|February 10, 2015
PubMed
Summary
This summary is machine-generated.

This study introduces a novel "democracy-based consensus" model for medical guidelines, combining local expert input with global web-based participation. This approach aims to improve clinician involvement and guideline implementation worldwide.

Keywords:
consensus conferencedemocracy-based medicineknowledge sharingweb-based network

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Area of Science:

  • Medical consensus building
  • Clinical guideline development
  • Healthcare research methodology

Background:

  • High-quality evidence is crucial for physician decision-making but often lacking or contradictory.
  • Traditional consensus statements can be elitist and unrepresentative of practicing clinicians.
  • There's a need for inclusive and globally representative methods to establish medical best practices.

Purpose of the Study:

  • To propose and validate a new model for developing medical consensus.
  • To enhance inclusivity and global reach in guideline creation.
  • To improve the implementation of medical recommendations.

Main Methods:

  • A 5-step methodology combining local expert meetings with global web-based assessments.
  • Development of consensus on nonsurgical interventions affecting perioperative mortality in critically ill patients and those with acute kidney injury.
  • Utilizing a 'democracy-based consensus' approach.

Main Results:

  • Successful application of the novel model.
  • Involvement of both expert panels and a large international professional audience.
  • Generation of a new form of 'democracy-based consensus'.

Conclusions:

  • The 'democracy-based consensus' model increases grass-root clinician involvement.
  • It expands reach to less-developed countries and offers a more global perspective.
  • This approach enhances awareness, ownership, and likelihood of guideline implementation.