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Developing a Checklist: Consensus Via a Modified Delphi Technique.

Shanna R Ogden1, William C Culp1, Frank J Villamaria1

  • 1Department of Anesthesiology, Scott & White Hospital, The Texas A&M University System Health Science Center College of Medicine, Temple, TX.

Journal of Cardiothoracic and Vascular Anesthesia
|June 4, 2016
PubMed
Summary
This summary is machine-generated.

A consensus-based checklist was developed to guide anesthesiologists in safely separating patients from cardiopulmonary bypass. This 10-item checklist, created using a modified Delphi technique, enhances patient safety during cardiac surgery.

Keywords:
Delphi techniquecardiopulmonary bypasschecklistmedical errorspatient safety

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Area of Science:

  • Cardiovascular Anesthesiology
  • Patient Safety
  • Medical Checklists

Background:

  • Patient separation from cardiopulmonary bypass is a critical phase in cardiac surgery.
  • Standardized protocols are essential for minimizing risks during this complex procedure.
  • Existing checklists may not comprehensively cover all necessary preparatory steps.

Framework:

  • A modified Delphi technique was employed for iterative consensus building.
  • Statistically guided refinement ensured the selection of essential checklist items.
  • Internet-based surveys facilitated broad participation from anesthesiologists.

Implementation:

  • Ninety anesthesiologists from the Society of Cardiovascular Anesthesiologists participated.
  • An initial 28-item checklist was refined through multiple survey rounds.
  • Items achieving >90% acceptance and statistical criteria formed the final checklist.

Implications:

  • A validated 10-item checklist for cardiopulmonary bypass separation is now available.
  • This tool can improve preparedness and reduce adverse events.
  • The consensus-building methodology can be applied to develop other critical care safety checklists.