Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project · SciRah

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Recommendations for effective documentation in regional anesthesia: an expert panel Delphi consensus project

Hassan M Ahmed^a, B Atterton^b, Gillian-Genevieve Crowe^b, Jaime L. Baratta^c, Mark Zachary Johnson^d, Eugene R. Viscusi^c, Sanjib Das Adhikary^e, Éric Albrecht^{f g}, Karen R. Boretsky^h, Jan Boublikⁱ, Dara S. Breslin^j, Kelly Patrick Anthony Byrne

Regional Anesthesia & Pain Medicine BMJ2022-02-22 37 citations6 references

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Abstract

BACKGROUND AND OBJECTIVES: Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia. METHODS: Following the formation of the executive committee and a directed literature review, a long list of potential documentation components was created. A modified Delphi process was then employed to achieve consensus amongst a group of international experts in regional anesthesia. This consisted of 2 rounds of anonymous electronic voting and a final virtual round table discussion with live polling on items not yet excluded or accepted from previous rounds. Progression or exclusion of potential components through the rounds was based on the achievement of strong consensus. Strong consensus was defined as ≥75% agreement and weak consensus as 50%-74% agreement. RESULTS: Seventy-seven collaborators participated in both rounds 1 and 2, while 50 collaborators took part in round 3. In total, experts voted on 83 items and achieved a strong consensus on 51 items, weak consensus on 3 and rejected 29. CONCLUSION: By means of a modified Delphi process, we have established expert consensus on documentation in regional anesthesia.

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^aDepartment of Anaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, UK
^bDepartment of Anaesthesia and Intensive Care, Letterkenny University Hospital, Letterkenny, Donegal, Ireland
^cDepartment of Anesthesiology, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA
^dDepartment of Anaesthesia, Fiona Stanley Hospital and Freemantle Hospitals, Perth, Western Australia, Australia
^eDepartment of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Hershey, Pennsylvania, USA
^fDepartment of Anaesthesia, University Hospital of Lausanne, Lausanne, Switzerland
^gFaculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
^hDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA
ⁱDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California, USA
^jDepartment of Anaesthesia, Intensive Care and Pain Medicine, St Vincent's University Hospital, Dublin, Ireland
^kDepartment of Anaesthesia, Waikato Hospital, Hamilton, New Zealand
^lDepartment of Anaesthesia, Liverpool Hospital, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia
^mDepartment of Anaesthesia, Tallaght University Hospital, Dublin, Ireland
ⁿDepartment of Anaesthesia and Pain Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia
^oFaculty of Medical Sciences, Unit of Pain Research and Treatment, Medical University of Silesia, Zabrze, Poland
^pDepartment of Anaesthesia, Clinique Medipole Garonne, Toulouse, France
^qDepartment of Anesthesia and Intensive Care, Cluj-Napoca County Emergency Hospital, Cluj-Napoca, Romania
^rDepartment of Anaesthesiology, Intensive Care and Pain Medicine, National Pirogov Memorial Medical University, Vinnytsia, Ukraine
^sDepartment of Anaesthesia and Pain Management, Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
^tRetired Consultant Anaesthetist, Worcester Royal Hospital, Worcester, UK
^uDepartment of Anaesthesia, Mater Misericordiae University Hospital, Dublin, Ireland
^vDepartment of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA
^wDepartment of Anesthesia, Clinique Sainte Anne Saint Remi, Bruxelles, Belgium
^xDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
^yDepartment of Anesthesiology and Reanimation, Koç University Hospital, Istanbul, Turkey
^zDepartment of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
^aaDepartment of Anaesthesia, St Mary's Hospital, Imperial College, London, UK
^abDepartment of Anaesthesia, Northeast Health Wangaratta, Wangaratta, Victoria, Australia
^acUltrasound Education Unit, University of Melbourne, Melbourne, Victoria, Australia