scholarly journals The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure

2016 ◽  
Vol 45 (5) ◽  
pp. 716-720 ◽  
Author(s):  
Katrin Singler ◽  
Adam Lee Gordon ◽  
Gillian Robertson ◽  
Regina Elisabeth Roller
2020 ◽  
pp. jrheum.200721
Author(s):  
Arielle Mendel ◽  
Daniel Ennis ◽  
Ellen Go ◽  
Volodko Bakowsky ◽  
Corisande Baldwin ◽  
...  

Objective In 2015, the Canadian Vasculitis Research Network (CanVasc) created recommendations for the management of antineutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV) in Canada. The current update aimed to revise existing recommendations and create additional recommendations, as needed, based on a review of new available evidence. Methods A needs assessment survey of CanVasc members informed questions for an updated systematic literature review (publications spanning May 2014-September 2019) using Medline, Embase, and Cochrane. New and revised recommendations were developed and categorized according to the level of evidence and strength of each recommendation. The CanVasc working group used a two-step modified Delphi procedure to reach >80% consensus on the inclusion, wording and grading of each new and revised recommendation. Results Eleven new and 16 revised recommendations were created, and 12 original (2015) recommendations were retained. New and revised recommendations are discussed in detail within this document. Five original recommendations were removed, of which 4 were incorporated into the explanatory text. The supplementary appendix for practical use was revised to reflect the updated recommendations. Conclusion The 2020 updated recommendations provide rheumatologists, nephrologists, and other specialists caring for patients with AAV in Canada with new management guidance, based on current evidence and consensus from Canadian experts.


2019 ◽  
Vol 70 (6) ◽  
pp. 1075-1082 ◽  
Author(s):  
Marvin A H Berrevoets ◽  
Jaap ten Oever ◽  
Anke J M Oerlemans ◽  
Bart Jan Kullberg ◽  
Marlies E Hulscher ◽  
...  

Abstract Background Our aim in this study was to develop quality indicators (QIs) for outpatient parenteral antimicrobial therapy (OPAT) care that can be used as metrics for quality assessment and improvement. Methods A RAND-modified Delphi procedure was used to develop a set of QIs. Recommendations on appropriate OPAT care in adults were retrieved from the literature using a systematic review and translated into potential QIs. These QIs were appraised and prioritized by a multidisciplinary panel of international OPAT experts in 2 questionnaire rounds combined with a meeting between rounds. Results The procedure resulted in 33 OPAT-specific recommendations. The following QIs that describe recommended OPAT care were prioritized by the expert panel: the presence of a structured OPAT program, a formal OPAT care team, a policy on patient selection criteria, and a treatment and monitoring plan; assessment for OPAT should be performed by the OPAT team; patients and family should be informed about OPAT; there should be a mechanism in place for urgent discussion and review of emergent clinical problems, and a system in place for rapid communication; laboratory results should be delivered to physicians within 24 hours; and the OPAT team should document clinical response to antimicrobial management, document adverse events, and monitor QIs for OPAT care and make these data available. Conclusions We systematically developed a set of 33 QIs for optimal OPAT care, of which 12 were prioritized by the expert panel. These QIs can be used to assess and improve the quality of care provided by OPAT teams.


2003 ◽  
Vol 26 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Ronald Meijer ◽  
Daniela Ihnenfeldt ◽  
Marinus Vermeulen ◽  
Rob De Haan ◽  
Jacques Van Limbeek

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031956
Author(s):  
Matthew S Leyenaar ◽  
Ryan P Strum ◽  
Alan M Batt ◽  
Samir Sinha ◽  
Michael Nolan ◽  
...  

ObjectiveCommunity paramedicine programme are often designed to address repeated and non-urgent use of paramedic services by providing patients with alternatives to the traditional ‘treat and transport’ ambulance model of care. We sought to investigate the level of consensus that could be found by a panel of experts regarding appropriate health, social and environmental domains that should be assessed in community paramedicine home visit programme.DesignWe applied the RAND/UCLA Appropriateness Method in a modified Delphi method to investigate the level of consensus on assessment domains for use in community paramedicine home visit programme.Setting and participantsWe included a multi-national panel of 17 experts on community paramedicine and in-home assessment from multiple settings (paramedicine, primary care, mental health, home and community care, geriatric care).MeasuresA list of potential assessment categories was established after a targeted literature review and confirmed by panel members. Over multiple rounds, panel members scored the appropriateness of 48 assessment domains on a Likert scale from 0 (not appropriate) to 5 (very appropriate). Scores were then reviewed at an in-person meeting and a finalised list of assessment domains was generated.ResultsAfter the preliminary round of scoring, all 48 assessment domains had scores that demonstrated consensus. Nine assessment domains (18.8%) demonstrated a wider range of rated appropriateness. No domains were found to be not appropriate. Achieving consensus about the appropriateness of assessment domains on the first round of scoring negated the need for subsequent rounds of scoring. The in-person meeting resulted in re-grouping assessment domains and adding an additional domain about urinary continence.ConclusionAn international panel of experts with knowledge about in-home assessment by community paramedics demonstrated a high level of agreement on appropriate patient assessment domains for community paramedicine home visit programme. Community paramedicine home visit programme are likely to have similar patient populations. A standardised assessment instrument may be viable in multiple settings.


Author(s):  
Khamim Khamim

Standar Penilaian Pendidikan is a part of Standar Nasional Pendidikan, where the form of explanation is from mandate of Undang-undang Nomor 20 Tahun 2003 concerning Sistem Pendidikan Nasional. The educators should understand on standar penilaian pendidikan, and know the background juridicial foundation of standar penilaian, mechanism, configuration, and evaluation procedure. Product of law is related to penilaian pendidikan, has set how is mechanism, configuration, education assessment instrument from SD, SMP, SMA, and University. With understanding the juridicial foundation which is related to education assessment, so educators must have a role to lead education quality that has been standared, so the destination of education in Indonesia can be realized.


Author(s):  
Britt A. E. Dhaenens ◽  
Rosalie E. Ferner ◽  
Annette Bakker ◽  
Marco Nievo ◽  
D. Gareth Evans ◽  
...  

AbstractNeurofibromatosis type 1 (NF1), neurofibromatosis type 2 (NF2) and schwannomatosis (SWN) are rare conditions with pronounced variability of clinical expression. We aimed to reach consensus on the most important manifestations meriting the development of drug trials. The five-staged modified Delphi procedure consisted of two questionnaires and a consensus meeting for 40 NF experts, a survey for 63 patient representatives, and a final workshop. In the questionnaires, manifestations were scored on multiple items on a 4-point Likert scale. The highest average scores for NF experts deciding the ‘need for new treatment’ were for malignant peripheral nerve sheath tumour (MPNST) (4,0) and high grade glioma (HGG) (3,9) for NF1; meningioma (3,9) for NF2 and pain (3,9) for SWN. The patient representatives assigned high scores to all manifestations, with plexiform neurofibroma being highest in NF1 (4,0), vestibular schwannoma in NF2 (4,0), and pain in SWN (3,9). Twelve experts participated in the consensus meeting and prioritised manifestations. MPNST was ranked the highest for NF1, followed by benign peripheral nerve sheath tumours. Tumour manifestations received highest ranking in NF2, and pain was the most prominent problem for SWN. Patient representative ratings for NF1 were similar to the experts’ opinions, except that they ranked HGG as the most important manifestation. For NF2 and SWN, the patient representatives agreed with the experts. We conclude that NF experts and patient representatives consent to prioritise development of drug trials for MPNST, benign peripheral nerve sheath tumours, cutaneous manifestations and HGG for NF1; tumours for NF2; and pain for SWN.


Author(s):  
Davilene Souza Santos ◽  
Flávia Goulart Mota Garcia Rosa

This article seeks to identify in the literature approaches that contribute to the construction of the assessment instrument for the Institutional Repository of the Federal University of Bahia, in order to serve the repository and contribute to the institutional assessment of the National Higher Education Assessment System (SINAES). The methodology used was the strategic search for the term “evaluation of repositories” and observation of the Repository. The results show the need for discussion, given the lack of standardized documents that support the repositories evaluation. We verified some initiatives, such as the Federal Universities of Santa Catarina and Ceará. We believe that debates on the theme can be intensified and that individual initiatives tend to build criteria and evaluation standards for repositories, so that they can be used as a resource for the evaluation of other repositories as well as institutional evaluation as a whole.


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