A Modified Delphi Consensus-Based Comprehensive Checklist and Angoff Standard for Assessment of Competency in Brain Death/Death by Neurologic Criteria Determination.

Summary

This consensus work used a modified Delphi process followed by Angoff standard setting to build a 98-item checklist for assessing clinician competency in determining brain death/death by neurologic criteria. Items span prerequisites, clinical examination, apnoea testing and ancillary testing, with seven designated critical actions and a defined minimum passing score. It is intended for formative and summative, often simulation-based, assessment of adult and paediatric critical care clinicians. The described method for defining critical actions could be applied to other critical care assessment scenarios.

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