Strategy tools in dynamic environments – An expert-panel study

2021 ◽  
Vol 165 ◽  
pp. 120560
Author(s):  
Srinath Rengarajan ◽  
Roger Moser ◽  
Gopalakrishnan Narayanamurthy
Keyword(s):  
Expert Panel ◽  
Panel Study ◽  
Dynamic Environments

scholarly journals Development of a tool to assess health applications for healthcare providers: A Delphi Expert Panel Study (Preprint)

2020 ◽  
Author(s):  
Immaculada Grau-Corral ◽  
Percy Efran Pantoja ◽  
Francisco J. Grajales III ◽  
Belchin Kostov ◽  
Valentí Aragunde ◽  
...  
Keyword(s):  
Literature Review ◽  
Health Care Providers ◽  
Expert Panel ◽  
Panel Study ◽  
Healthcare Providers ◽  
Care Providers ◽  
Web Based ◽  
Health Apps ◽  
Agreement Assessment ◽  
Health Applications

BACKGROUND The presence of the mobile phone and devices is generating knowledge about the use of applications to support patient care, but there are few recommendations for apps dedicated to healthcare professionals OBJECTIVE To establish a validated scale to assess healthcare mobile applications is the most efficient step for health care providers and systems. The main goal is to create and validate a tool to evaluate health apps destined to be used by health professionals. METHODS A five steps simplified methodology to assess of the scale was followed. The first step consists of building a scale for professionals based on a literature review. Next step would be an expert panel validation by a Delphi method, rating web-based questionnaires to evaluate inclusion and weight of the indicators. It was agreed to carry out, as many iterations as necessary, to reach a consensus of 75%. Finally, a pilot of the score was developed to evaluate the reliability of the scale. For the inter-rater agreement assessment during the pilot, the Cohen Kappa was used. RESULTS After the literature review, a first scale draft was developed. Two rounds of interactions of the local investigation group and the external panel of experts were needed to select final indicators. Seventeen indicators were included in the score. For the pilot test, 280 apps were evaluated and 66 meet the criteria. The interrater agreement was strong (higher than 82% with significant kappa >0.72 per app and item). CONCLUSIONS We have developed, with a reproducible methodology, a tool that allows us to evaluate health applications for clinical, surgical and general medical providers. The ISYScore-PRO scale to be reliable and reproducible. The assessment permitted to consolidate every step of the methodology. We were able to reach consensus on the dimensions and items on the scale with only two rounds. The process of validation included two robust methodologies. The ISYScore-PRO scale is reliable and reproducible.

scholarly journals Assessing applications for healthcare workers and providers: Development and validation of the 17-item scale, the ISYScore-Pro a Delphi Expert Panel Study (Preprint)

10.2196/17660 ◽  
2020 ◽  
Author(s):  
Immaculada Grau-Corral ◽  
Percy Efran Pantoja ◽  
Francisco J. Grajales III ◽  
Belchin Kostov ◽  
Valentí Aragunde ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Expert Panel ◽  
Panel Study ◽  
Development And Validation ◽  
Item Scale

scholarly journals Comprehensive embryo testing. Experts' opinions regarding future directions: an expert panel study on comprehensive embryo testing

2013 ◽  
Vol 28 (5) ◽  
pp. 1418-1425 ◽  
Author(s):  
K. Hens ◽  
W. J. Dondorp ◽  
J. P. M. Geraedts ◽  
G. M. de Wert
Keyword(s):  
Expert Panel ◽  
Panel Study ◽  
Future Directions

scholarly journals What is case management in palliative care? An expert panel study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Annicka G M van der Plas ◽  
Bregje D Onwuteaka-Philipsen ◽  
Marlies van de Watering ◽  
Wim J J Jansen ◽  
Kris C Vissers ◽  
...  
Keyword(s):  
Palliative Care ◽  
Case Management ◽  
Expert Panel ◽  
Panel Study

scholarly journals Drugs foresight 2020: a Delphi expert panel study

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Tomi Lintonen ◽  
Anne Konu ◽  
Sanna Rönkä ◽  
Elina Kotovirta
Keyword(s):  
Expert Panel ◽  
Panel Study

Efficient and effective precepting of pharmacy students in acute and ambulatory care rotations: A Delphi expert panel study

2017 ◽  
Vol 74 (19) ◽  
pp. 1570-1578 ◽  
Author(s):  
Robert Ignoffo ◽  
Lucinda Chan ◽  
Katherine Knapp ◽  
Emily Chan ◽  
Eric Ip ◽  
...  
Keyword(s):  
Critical Thinking ◽  
Expert Panel ◽  
Clinical Performance ◽  
Panel Study ◽  
Thinking Skills ◽  
Critical Thinking Skills ◽  
Quality Feedback ◽  
Efficiency And Effectiveness ◽  
Preceptor Effectiveness ◽  
Therapeutic Decision Making

Abstract Purpose Using the Delphi process, a panel of experienced preceptors achieved consensus on best practices to increase preceptor efficiency and effectiveness. Methods The Delphi panelists completed 3 survey rounds and a face-to-face meeting. Survey questions covered several topics, including preparation of students for rotations, preceptor efficiency and effectiveness, potential resident contributions to precepting, methods of developing critical-thinking skills and providing assessment and feedback, precepting time metrics, and barriers to preceptor effectiveness. Panel consensus was defined as agreement of ≥80%. Results Fifteen of 36 invited preceptors (42%) completed all 3 survey rounds. The expert panel reached consensus on 6 essentials for effective rotations, 8 precepting contributions that could be made by appropriately trained residents, precepting barriers, 4 strategies for teaching critical thinking, and 5 valuable characteristics of the One Minute Preceptor model. Panelists reported on time spent with students presenting new patient cases (median, 10 minutes per case), time devoted to assessment of students’ clinical performance (median, 22 minutes per student weekly), and time dedicated to student professional development (median, 20 minutes per student weekly). Conclusion Important strategies for preceptors identified by the panel included (1) a thorough orientation to logistics, expectations, and scheduling of activities, (2) using appropriately trained residents in student training, (3) providing opportunities for critical thinking and therapeutic decision-making, (4) giving frequent, quality feedback on clinical activities, and (5) giving feedback to learners on a regular basis.

scholarly journals Practical recommendations for the safe use of gadolinium in magnetic resonance imaging: a Delphi expert panel study

2020 ◽  
Vol 53 (4) ◽  
pp. 216-222
Author(s):  
Ronaldo Hueb Baroni ◽  
Tufik Bauab Jr. ◽  
Leonardo Kayat Bittencourt ◽  
Giuseppe D’Ippolito ◽  
Suzan Menasce Goldman ◽  
...  
Keyword(s):  
Adverse Reactions ◽  
Expert Panel ◽  
Panel Study ◽  
Delphi Panel ◽  
Gadolinium Deposition ◽  
Published Evidence ◽  
Potential Risks ◽  
The Brain ◽  
Practical Recommendations

Abstract Objective: To assess the practical aspects of the use of various gadolinium-based contrast agents (GBCAs) by radiologists. Materials and Methods: Ten experienced radiologists from different regions of Brazil participated in a Delphi panel querying their use of various GBCAs, including linear and macrocyclic classes (1.0 and 0.5 M), in terms of the choice of agent, volume and dosage of the agents, and associated safety concerns. Results: The response rate was 100% for all questions. GBCAs are safe in terms of acute adverse reactions, and nephrogenic systemic fibrosis is rare. The deposition of gadolinium in the brain and other tissues is a concern among the experts. Macrocyclic agents are preferable to linear agents; an injection volume below 0.1 mL/kg of a 1.0 M agent could result in good-quality images with additional long-term safety, but there is no published evidence to support this recommendation. The majority of experts preferred not to administer GBCAs to pregnant patients. Conclusion: When choosing a GBCA, it is important to consider the characteristics of the gadolinium deposition in patient tissues and minimize potential risks. Furthermore, medical education programs are needed to increase the awareness of the potential risks of gadolinium deposition and thus avoid instances of overexposure to the contrast agent.

scholarly journals The Interactive Child Distress Screener: Development and Preliminary Feasibility Testing (Preprint)

2017 ◽  
Author(s):  
Sonja March ◽  
Jamin Day ◽  
Kirsty Zieschank ◽  
Michael Ireland
Keyword(s):  
Early Identification ◽  
Iterative Process ◽  
Mental Health Problems ◽  
Expert Panel ◽  
Panel Study ◽  
Clinical Information ◽  
Assessment Tools ◽  
Initial Development ◽  
Expert Review ◽  
Child Distress

BACKGROUND Early identification of child emotional and behavioral concerns is essential for the prevention of mental health problems; however, few suitable child-reported screening measures are available. Digital tools offer an exciting opportunity for obtaining clinical information from the child’s perspective. OBJECTIVE The aim of this study was to describe the initial development and pilot testing of the Interactive Child Distress Screener (ICDS). The ICDS is a Web-based screening instrument for the early identification of emotional and behavioral problems in children aged between 5 and 12 years. METHODS This paper utilized a mixed-methods approach to (1) develop and refine item content using an expert review process (study 1) and (2) develop and refine prototype animations and an app interface using codesign with child users (study 2). Study 1 involved an iterative process that comprised the following four steps: (1) the initial development of target constructs, (2) preliminary content validation (face validity, item importance, and suitability for animation) from an expert panel of researchers and psychologists (N=9), (3) item refinement, and (4) a follow-up validation with the same expert panel. Study 2 also comprised four steps, which are as follows: (1) the development of prototype animations, (2) the development of the app interface and a response format, (3) child interviews to determine feasibility and obtain feedback, and (4) refinement of animations and interface. Cognitive interviews were conducted with 18 children aged between 4 and 12 years who tested 3 prototype animated items. Children were asked to describe the target behavior, how well the animations captured the intended behavior, and provide suggestions for improvement. Their ability to understand the wording of instructions was also assessed, as well as the general acceptability of character and sound design. RESULTS In study 1, a revised list of 15 constructs was generated from the first and second round of expert feedback. These were rated highly in terms of importance (mean 6.32, SD 0.42) and perceived compatibility of items (mean 6.41, SD 0.45) on a 7-point scale. In study 2, overall feedback regarding the character design and sounds was positive. Children’s ability to understand intended behaviors varied according to target items, and feedback highlighted key objectives for improvements such as adding contextual cues or improving character detail. These design changes were incorporated through an iterative process, with examples presented. CONCLUSIONS The ICDS has potential to obtain clinical information from the child’s perspective that may otherwise be overlooked. If effective, the ICDS will provide a quick, engaging, and easy-to-use screener that can be utilized in routine care settings. This project highlights the importance of involving an expert review and user codesign in the development of digital assessment tools for children.

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