A Modified Delphi Consensus-Based Comprehensive Checklist and Angoff Standard for Assessment of Competency in Brain Death/Death by Neurologic Criteria Determination
Authors' conclusion
These guideline-concordant consensus checklist items, including critical actions and noncritical actions with their assigned item average ratings, may be applied selectively to simulated cases of BD/DNC determination for adults and children to determine a minimum passing score and readiness for independent practice, mitigating the risk of inaccurate BD/DNC determination among critical care clinicians.
Study context
- Population
- Expert panels developing a competency checklist for brain death/death by neurologic criteria (BD/DNC) determination by adult and pediatric critical care clinicians and other clinicians
- Participants
- 16 vs 13
- Comparison
- Delphi panel vs Angoff panel
- Delphi paneln = 16
- Angoff paneln = 13
- Outcome
- Checklist, critical actions and passing standard
Methodological detailsprespecified three-round modified Delphi, electronic surveys
- Prespecified three-round modified Delphi
- Electronic surveys
Recommendations
As reported in the abstract
- Unique checklist items retained by Delphi panel
- 98
- Items on assessment of prerequisites
- 23
- Items on performance of clinical examination
- 28
- Items on apnea testing
- 36
- Items on ancillary testing
- 11
- Items designated as critical actions (Angoff panelist consensus)
- 7
- Remaining items assigned item average ratings
- 91
- Minimum passing score for assessment including all noncritical items
- 89%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
A Modified Delphi Consensus-Based Comprehensive Checklist and Angoff Standard for Assessment of Competency in Brain Death/Death by Neurologic Criteria Determination. Crit Care Med. Published 30 March 2026. doi:10.
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