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Published on: April 11, 2012
Creating Consensus Educational Goals for Pediatric Sepsis via Multicenter Modified Delphi
Jason M Woods1,2, Halden F Scott2, Pavan P Zaveri1
1Children's National Medical Center Washington DC.
Insights
Developing effective pediatric sepsis education requires clear goals. A Delphi process involving experts established 14 consensus educational goals for recognizing and treating pediatric sepsis in emergency settings.
Area of Science:
- Pediatric critical care medicine
- Medical education research
Background:
- Early recognition and management are crucial for pediatric sepsis survival.
- Existing educational materials for healthcare providers need focused development.
Purpose of the Study:
- To identify and establish consensus educational goals for pediatric sepsis recognition and treatment.
- To create a framework for educational materials targeting emergency and acute care providers.
Main Methods:
- A modified Delphi process was employed with pediatric sepsis experts.
- Experts participated in three rounds to achieve consensus on educational goals.
- Free-text responses and edits were incorporated to refine goal statements.
Main Results:
- Unanimous agreement was reached on 14 educational goals after three rounds.
- Goals covered recognition (3), early treatment (5), treatment response (3), and continued treatment (3).
- High initial agreement and rapid consensus were observed among experts.
Conclusions:
- The Delphi process successfully established a foundational set of educational goals for pediatric sepsis care.
- These goals provide content standards for developing targeted educational interventions.
- The Delphi methodology is adaptable for creating educational content in other medical topics.
Abstract:
Clinical care of pediatric sepsis depends on early recognition and basic initial steps and thus focused educational materials for providers in these early phases of care are needed. The authors sought to identify educational goals and establish a framework for those materials. The authors conducted a Delphi process to create consensus educational goals for the recognition and treatment of pediatric sepsis, focused on the needs of emergency and acute care providers. Experts in pediatric sepsis quality improvement and education were recruited. In each round the experts determined if a particular goal was appropriate for inclusion and provided edits if required. Free-text responses and additional goals were accepted. The primary author deidentified and collated the responses and distributed an updated list of goals prior to each round. Five experts participated in the Delphi process. After three rounds the panelists unanimously agreed on 14 educational goals. These goals include three on recognition, five on early treatment, three on treatment response, and three on continued treatment. Using a Delphi process the authors established a list of educational goals for pediatric sepsis care. The experts largely agreed upon the initial set of goals and quickly came to consensus on the majority of topics. This highlights a foundation for any future educational interventions. In addition to creating content standards for pediatric sepsis education, this Delphi process represents a useful tool that may be adaptable to educational content development in other topics.
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Modified Boxplots
However, the box plot does not tell the reader about outliers - values that lie far from the center of the data. We can modify the standard box and whisker plot to identify the outliers and visualize the actual spread of the data in a sample.
Initially, we calculate the adjusted...

