Identifying significant and relevant events during pediatric transport: A modified delphi study

Anna C. Gunz, Sonny Dhanani, Hillary Whyte, Kusum Menon, Jennifer R. Foster, Melissa J. Parker, J. Dayre McNally

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

Objectives: Children must often be transported to dedicated pediatric centers to receive specialized medical and surgical care, which places them at risk for significant deterioration and life-threatening events. Studies designed to identify and mitigate these events have been limited by variability in the selection and definition of significant events. The objective of this study was to identify and evaluate indicators that represent significant events during the transport of pediatric patients and are relevant to future research initiatives in transport medicine. Design: We conducted a modified Delphi study consisting of four iterations. Setting: The expert panel included Canadian, interdisciplinary healthcare providers with transport experience. Interventions: In the first Delphi iteration, experts suggested indicators for consideration and evaluated proposed indicators from the literature and introduced by the study steering committee. In subsequent iterations, respondents reevaluated all indicators that had not yet achieved a priori-defined consensus; group comments and aggregate scores for each indicator from previous iterations were provided. Measurements and Main Results: The expert panel consisted of 16 physicians and 17 nonphysician healthcare providers from 10 Canadian institutions. In total, the panel evaluated 57 indicators, including 26 not previously presented in the literature. The expert panel determined 52 were significant and relevant to future studies in pediatric transport. The final indicator list includes trigger tools (interventions, physiological markers, and laboratory values) and team member safety and process issues. Conclusions: Using a systematic, modified Delphi approach, we developed an inclusive list of indicators for application to pediatric transport-related quality improvement and clinical research projects.

Original languageEnglish
Pages (from-to)653-659
Number of pages7
JournalPediatric Critical Care Medicine
Volume15
Issue number7
DOIs
Publication statusPublished - 2014
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2014 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

PubMed: MeSH publication types

  • Journal Article

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