Article type
Abstract
"Introduction: At the Hospital Universitario Nacional de Colombia, Clinical Practice Guidelines (CPGs) were adapted through a process called Evidence-Based Clinical Standards (EBCS). To incorporate the perspectives of all stakeholders involved in patient care, interdisciplinary consensus meetings are conducted during the process to discuss the clinical care algorithm, following a systematic review of CPGs.
Objective: To implement a methodology for conducting interdisciplinary consensus meetings for the generation of EBCS.
Methods: Representatives from the healthcare service areas involved in the care of patients with the disease or condition to be standardized were identified. The developed clinical algorithm in the EBCS process was shared with them. The interdisciplinary consensus meeting was conducted using a modified Delphi methodology. Conflict of interest was documented, and the clinical algorithm was presented in sections, followed by rounds of discussion and recommendation voting using a Likert scale. Voting results were presented in real-time to establish total consensus, partial consensus, or non-consensus, based on predefined Likert scale thresholds.
Results: 24 consensus meetings were held for the interdisciplinary clinical approach to patients with COVID-19, obesity, acute myocardial infarction, acute pancreatitis, heart failure, meniscal injuries, oropharyngeal dysphagia, spinal cord trauma, severe adverse drug reactions, acute cholecystitis, intestinal fistulas, sepsis, acute respiratory distress syndrome, complicated urinary tract infection, vertigo, differentiated thyroid cancer, and systemic lupus erythematosus. 106 sections were presented for voting, achieving total consensus in 96%. 172 professionals from 33 service and/or healthcare areas and 26 graduate and undergraduate students participated.
Conclusion: Formal consensus meetings enable the adaptation of evidence-based clinical recommendations while considering interdisciplinary perspectives, aiming for comprehensive patient care."
Objective: To implement a methodology for conducting interdisciplinary consensus meetings for the generation of EBCS.
Methods: Representatives from the healthcare service areas involved in the care of patients with the disease or condition to be standardized were identified. The developed clinical algorithm in the EBCS process was shared with them. The interdisciplinary consensus meeting was conducted using a modified Delphi methodology. Conflict of interest was documented, and the clinical algorithm was presented in sections, followed by rounds of discussion and recommendation voting using a Likert scale. Voting results were presented in real-time to establish total consensus, partial consensus, or non-consensus, based on predefined Likert scale thresholds.
Results: 24 consensus meetings were held for the interdisciplinary clinical approach to patients with COVID-19, obesity, acute myocardial infarction, acute pancreatitis, heart failure, meniscal injuries, oropharyngeal dysphagia, spinal cord trauma, severe adverse drug reactions, acute cholecystitis, intestinal fistulas, sepsis, acute respiratory distress syndrome, complicated urinary tract infection, vertigo, differentiated thyroid cancer, and systemic lupus erythematosus. 106 sections were presented for voting, achieving total consensus in 96%. 172 professionals from 33 service and/or healthcare areas and 26 graduate and undergraduate students participated.
Conclusion: Formal consensus meetings enable the adaptation of evidence-based clinical recommendations while considering interdisciplinary perspectives, aiming for comprehensive patient care."