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Expert consensus on training and accreditation for extracorporeal cardiopulmonary resuscitation an international, multidisciplinary modified Delphi Study
N. Kruit, A. Burrell, D. Tian, N. Barrett, J. Bělohlávek, S. Bernard, D. Braude, H. Buscher, YS. Chen, DW. Donker, S. Finney, P. Forrest, JA. Fowles, T. Hifumi, C. Hodgson, A. Hutin, A. Inoue, JS. Jung, JM. Kruse, L. Lamhaut, R. Ming-Hui Lin, D....
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- akreditace MeSH
- delfská metoda MeSH
- kardiopulmonální resuscitace * metody MeSH
- lidé MeSH
- mimotělní membránová oxygenace * metody MeSH
- retrospektivní studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: A multidisciplinary group of stakeholders were used to identify: (1) the core competencies of a training program required to perform in-hospital ECPR initiation (2) additional competencies required to perform pre-hospital ECPR initiation and; (3) the optimal training method and maintenance protocol for delivering an ECPR program. METHODS: A modified Delphi process was undertaken utilising two web based survey rounds and one virtual meeting. Experts rated the importance of different aspects of ECPR training, competency and governance on a 9-point Likert scale. A diverse, representative group was targeted. Consensus was achieved when greater than 70% respondents rated a domain as critical (> or = 7 on the 9 point Likert scale). RESULTS: 35 international ECPR experts from 9 countries formed the expert panel, with a median number of 14 years of ECMO practice (interquartile range 11-38). Participant response rates were 97% (survey round one), 63% (virtual meeting) and 100% (survey round two). After the second round of the survey, 47 consensus statements were formed outlining a core set of competencies required for ECPR provision. We identified key elements required to safely train and perform ECPR including skill pre-requisites, surrogate skill identification, the importance of competency-based assessment over volume of practice and competency requirements for successful ECPR practice and skill maintenance. CONCLUSIONS: We present a series of core competencies, training requirements and ongoing governance protocols to guide safe ECPR implementation. These findings can be used to develop training syllabus and guide minimum standards for competency as the growth of ECPR practitioners continues.
Alfred Health Melbourne Victoria Australia
Assistance Publique Hôpitaux de Paris Paris France
Charité Universitätsmedizin Berlin Germany
Department of Perioperative Medicine Westmead Hospital Hawksbury Rd Westmead NSW 2145 Australia
Director of Emergency and Critical Care Services Lin Shin Hospital Taichung Taiwan
Division of Prehospital Austere and Disaster Medicine NM United States
Erasmus MC University Medical Center Netherlands
Guy's and St Thomas' NHS Foundation Trust London UK
Hyogo Emergency Medical Center Kobe Japan
Korea University Anam Hospital Seoul Republic of Korea
Monash University Victorian Heart Hospital Australia
National Taiwan University Hospital Taipei Taiwan
Royal Papworth Hospital Cambridge UK
Royal Papworth NHS Foundation Trust Cambridge Biomedical Campus l Cambridge UK
Royal Prince Alfred Hospital Australia
Royal Prince Alfred Hospital Faculty of Medicine and Health University of Sydney Australia
RPAH and Sydney University Medical School Australia
Sharp Memorial Hospital San Diego CA USA
St Bartholomew's Hospital London UK
St Bartholomew's Hospital London UK London's Air Ambulance London UK
St Luke's International Hospital Tokyo Japan
St Vincent's Hospital Sydney Australia
The Alfred Hospital Melbourne Victoria Australia
The Alfred Hospital Victoria Australia
The Alfred Hosptial Victoria Australia
The Prince Charles Hospital Brisbane QLD Australia
University Hospital Birmingham UK
University Hospital Regensburg Germany
Citace poskytuje Crossref.org
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- $a Kruit, Natalie $u Department of Perioperative Medicine, Westmead Hospital, Hawksbury Rd, Westmead, NSW 2145, Australia. Electronic address: natalie.kruit@health.nsw.gov.au
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- $a Expert consensus on training and accreditation for extracorporeal cardiopulmonary resuscitation an international, multidisciplinary modified Delphi Study / $c N. Kruit, A. Burrell, D. Tian, N. Barrett, J. Bělohlávek, S. Bernard, D. Braude, H. Buscher, YS. Chen, DW. Donker, S. Finney, P. Forrest, JA. Fowles, T. Hifumi, C. Hodgson, A. Hutin, A. Inoue, JS. Jung, JM. Kruse, L. Lamhaut, R. Ming-Hui Lin, D. Reis Miranda, T. Müller, V. Bhagyalakshmi Nanjayya, C. Nickson, V. Pellegrino, B. Plunkett, C. Richardson, S. Alexander Richardson, K. Shekar, Z. Shinar, B. Singer, D. Stub, RJ. Totaro, A. Vuylsteke, D. Yannopoulos, B. Zakhary, M. Dennis
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- $a BACKGROUND: A multidisciplinary group of stakeholders were used to identify: (1) the core competencies of a training program required to perform in-hospital ECPR initiation (2) additional competencies required to perform pre-hospital ECPR initiation and; (3) the optimal training method and maintenance protocol for delivering an ECPR program. METHODS: A modified Delphi process was undertaken utilising two web based survey rounds and one virtual meeting. Experts rated the importance of different aspects of ECPR training, competency and governance on a 9-point Likert scale. A diverse, representative group was targeted. Consensus was achieved when greater than 70% respondents rated a domain as critical (> or = 7 on the 9 point Likert scale). RESULTS: 35 international ECPR experts from 9 countries formed the expert panel, with a median number of 14 years of ECMO practice (interquartile range 11-38). Participant response rates were 97% (survey round one), 63% (virtual meeting) and 100% (survey round two). After the second round of the survey, 47 consensus statements were formed outlining a core set of competencies required for ECPR provision. We identified key elements required to safely train and perform ECPR including skill pre-requisites, surrogate skill identification, the importance of competency-based assessment over volume of practice and competency requirements for successful ECPR practice and skill maintenance. CONCLUSIONS: We present a series of core competencies, training requirements and ongoing governance protocols to guide safe ECPR implementation. These findings can be used to develop training syllabus and guide minimum standards for competency as the growth of ECPR practitioners continues.
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- $a Burrell, Aidan $u The Alfred Hospital, Melbourne, Victoria, Australia. Electronic address: aidanburrell@gmail.com
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- $a Bělohlávek, Jan $u Chair EuroELSO Working Group on ECPR, Deputy Head, 2(nd) Dept. of Internal Medicine, Cardiovascular Medicine U Nemocnice 2, Prague 2 128 00, Czech Republic. Electronic address: jan.belohlavek@vfn.cz
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- 700 1_
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- 700 1_
- $a Bhagyalakshmi Nanjayya, Vinodh $u The Alfred Hospital, Victoria, Australia. Electronic address: vinodh_bn@yahoo.co.in
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- $a Nickson, Christopher $u Alfred Health, Melbourne, Victoria, Australia. Electronic address: Precordial.Thump@Gmail.Com
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- $a Pellegrino, Vin $u Alfred Health, Melbourne, Victoria, Australia. Electronic address: V.Pellegrino@alfred.org.au
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- 700 1_
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- $a Yannopoulos, Demetris $u University of Minnesota Medical School, USA. Electronic address: yanno001@umn.edu
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- $a Zakhary, Bishoy $u Portland, OR, USA. Electronic address: bzakhary@elso.org
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- $a Dennis, Mark $u Royal Prince Alfred Hospital, Faculty of Medicine and Health, University of Sydney, Australia. Electronic address: mden5273@uni.sydney.edu.au
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