ArticlePrehospital and disaster medicine2025
A Modified Delphi Process to Develop Consensus Definitions of Time-Dependent Care by Paramedic Services Systems.
Article in Prehospital and disaster medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundJust as prospective differentiation between true emergencies and calls for subacute patients is critical to the delivery of prehospital care, retrospective differentiation is critical to research and quality improvement. Determining the acuity of patients based on the type of care they received could complement the vital-sign-based instruments currently popular, yet imperfect. The study aim was to create a consensus definition of time-dependent care and a list of time-dependent interventions in paramedicine.
methodsThe study was a Delphi approach consisting of four rounds of voting by a bi-provincial panel of 22 Canadian key informants representing medical first responders, paramedics, and physicians - first to agree on a definition of time-dependent care - then to categorize 29 clinical and 34 pharmacological interventions.
resultsBased on the consensus definition of "
conclusionThe panel reached a consensus on a definition of time-dependent care and used this to identify prehospital interventions that could serve as an instrument to improve care and system performance.
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