Delphi survey results

Questions Round 1 Round 2 P value

Who should be responsible for data entry?

a)  Surgeon

b)  Nurse Specialist

c)  Data Manager

d)  Surgical Trainees

4.4 ± 1.1

4.7 ± 0.5

3.9 ± 1.2

2.6 ± 1.5

4.1 ± 1.1

4.7 ± 0.8

4.1 ± 1.0

2.3 ± 1.4

0.21

0.41

0.58

0.49

How should mortality be routinely recorded?

a)  30-Day

b)  90-Day

c)  In-hospital

4.3 ± 1.4

4.5 ± 0.7

4.8 ± 0.7

4.5 ± 1.1

4.7 ± 0.6

5.0 ± 0

0.70

0.67

0.61

What Co-Morbidity Index should be a routine component of database?

a)  Karnofsky

b)  Charlson

c)  Zubrod

d)  Siewert

e)  Other

3.7 ± 1.1

4.1 ± 1.1

3.5 ± 1.3

2.4 ± 1.2

2.5 ± 1.8

2.9 ± 1.2

4.7 ± 0.6

4.3 ± 0.8

2.4 ± 1.2

2.0 ± 1.4

0.04

0.03

0.03

0.97

0.71

Dindo-Clavien or Accordion Severity Grading should routinely be recorded?

4.8 ± 0.4

5.0 ± 0

0.27

Readmission to hospital following discharge should be routinely recorded?

4.6 ± 0.6

4.9 ± 0.3

0.04

What time frames for re-admissions are appropriate?

a)  1 week

b)  2 weeks

c)  1 month

d)  3 months

4.0 ± 1.5

3.8 ± 1.5

4.5 ± 1.0

2.7 ± 1.4

4.6 ± 0.9

2.9 ± 1.6

4.7 ± 0.7

2.4 ± 1.4

0.22

0.04

0.33

0.49

Should change in level of care be recorded? (i.e. return to step down Unit, HDU or ICU)

4.0 ± 1.1

4.8 ± 0.6

0.01

Should blood transfusions be recorded as routine?

4.5 ± 0.6

4.9 ± 0.3

0.02

Should blood transfusions be distinguished between intra operative and postoperative transfusions?

3.8 ± 1.1

4.3 ± 1.0

0.19

Recording of blood transfusions should include the number of units transfused?

4.1 ± 1.1

4.7 ± 0.9

0.02

Discharge location should be routinely recorded?

3.8 ± 1.0

4.4 ± 0.7

0.11

Recognizing differing resources and patterns of practice internationally, is it appropriate to assess discharge planning as:

  Discharge to home or to family member

  Discharge to any nursing facility or with Daily Home Nursing Visits

4.2 ± 0.9

4.2 ± 0.9

0.96