Analysis of Delphi technique for decision making in critical ill patients
a systematic review
DOI:
https://doi.org/10.11606/issn.1679-9836.v99i3p291-304Keywords:
Delphi technique, Decision making, Critical care, Physician, Intensive Care UnitsAbstract
Introduction: The Delphi technique is a method used to reach consensus among experts on a given subject. Objectives: To develop a systematic review about the contribution and use of the Delphi method exclusively by physicians, for decision-making in critically ill patients. Methods: The study was conducted in the databases: PubMed, SciElo, Biblioteca Virtual em Saúde, Scopus, CAPES Periodicals and ClinicalTrials.gov, using the terms: “Delphi technique”, “Decision making”, “Critical care” and “Physicians”. Clinical trials or observational studies were selected to answer the guiding question: “What is the contribution of the Delphi technique to decision-making by physicians in critically ill patients?” To evaluate the level of evidence and degree of recommendation for the included studies, the scale from the Center for Evidence-Based Medicine in Oxford was used. Results: Eighteen articles were included to compose this study. The contributions of the Delphi method were considered important for the decision-making in fifteen of the studies analyzed, to: define management strategies, treatment and recommendations; manage and diagnose patients; set consensus for examinations; and identify controversial ideas and their underlying motives. From the limitations of the method, most frequent was the selection of specialists from different levels of knowledge. Conclusion: This study shows the applicability of the Delphi technique for critical patient management, drug treatment, recommendations for specific symptoms, guidelines for managing and diagnosing patients, consensus for tests and exams, and identification of topics of controversial ideas and their underlying motives in situations where there is no consensus in the medical literature.
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