Abstract：
Complete and accurate documentation of surgical procedures is essential for optimizing patient care, yet significant variation in operative notes persists within and across institutions. We sought to reach consensus on the most important components of an operative note for pediatric microlaryngoscopy and bronchoscopy.
A modified Delphi consensus process was used. A checklist for operative documentation, created by fellowship-trained pediatric otolaryngologists-head and neck surgeons, was sent to surgeons identified as experts in pediatric laryngoscopy and bronchoscopy. In the first round, items were rated as \"keep\" or \"remove\". In the second round, each item was rated on a 7-point Likert scale for importance. The mean score of each item was calculated to determine if consensus was reached.
Overall, 43/74 (58.1%) surgeons responded to our survey. After two rounds of editing, 28 components reached consensus, 24 were near consensus, and 26 did not reach consensus. Items that reached final consensus had mean (SD) ratings of 6.12 (0.94) (range, 5.31-6.72).
Pediatric otolaryngologists identified as bronchoscopy experts were able to create a checklist of essential components of an operative note for pediatric laryngoscopy and bronchoscopy using a Delphi method. Items reaching consensus included procedure name, description of breathing, grade of airway view, description of normal anatomic structures, grade of subglottic stenosis if present, presence and description of tracheobronchomalacia, presence of fistulae, cleft and rings, and several special cases including foreign body and tracheostomy management, as well as end of procedure disposition and complications.
5 Laryngoscope, 133:1234-1238, 2023.
A modified Delphi consensus process was used. A checklist for operative documentation, created by fellowship-trained pediatric otolaryngologists-head and neck surgeons, was sent to surgeons identified as experts in pediatric laryngoscopy and bronchoscopy. In the first round, items were rated as \"keep\" or \"remove\". In the second round, each item was rated on a 7-point Likert scale for importance. The mean score of each item was calculated to determine if consensus was reached.
Overall, 43/74 (58.1%) surgeons responded to our survey. After two rounds of editing, 28 components reached consensus, 24 were near consensus, and 26 did not reach consensus. Items that reached final consensus had mean (SD) ratings of 6.12 (0.94) (range, 5.31-6.72).
Pediatric otolaryngologists identified as bronchoscopy experts were able to create a checklist of essential components of an operative note for pediatric laryngoscopy and bronchoscopy using a Delphi method. Items reaching consensus included procedure name, description of breathing, grade of airway view, description of normal anatomic structures, grade of subglottic stenosis if present, presence and description of tracheobronchomalacia, presence of fistulae, cleft and rings, and several special cases including foreign body and tracheostomy management, as well as end of procedure disposition and complications.
5 Laryngoscope, 133:1234-1238, 2023.
摘要：
背景：完整而准确的外科手术记录对于优化患者护理至关重要，然而，机构内部和机构间的业务票据仍然存在显著差异。我们试图就小儿显微喉镜和支气管镜的手术注意事项的最重要组成部分达成共识。
方法：使用改进的Delphi共识过程。操作文件检查表，由受过研究金培训的儿科耳鼻喉科医师-头颈外科医生创建，被送到被确定为小儿喉镜和支气管镜专家的外科医生那里。在第一轮中，项目被评为“保留”或“删除”。在第二轮中,每个项目的重要性均采用7分Likert量表进行评分.计算每个项目的平均得分以确定是否达成共识。
结果：总体而言，43/74（58.1％）外科医生对我们的调查做出了回应。经过两轮编辑，28个组成部分达成共识，24接近共识，和26没有达成共识。达成最终共识的项目的平均(SD)评级为6.12(0.94)(范围，5.31-6.72)。
结论：被确定为支气管镜专家的小儿耳鼻喉科医师能够使用Delphi方法创建小儿喉镜和支气管镜手术注意事项的基本组成部分清单。达成共识的项目包括程序名称，呼吸的描述，气道视图等级，正常解剖结构的描述，如果存在声门下狭窄的级别，气管支气管软化的存在和描述，有瘘管,裂口和戒指，以及一些特殊情况，包括异物和气管造口术管理，以及手术结束和并发症。
方法：5喉镜，2022年。
方法：使用改进的Delphi共识过程。操作文件检查表，由受过研究金培训的儿科耳鼻喉科医师-头颈外科医生创建，被送到被确定为小儿喉镜和支气管镜专家的外科医生那里。在第一轮中，项目被评为“保留”或“删除”。在第二轮中,每个项目的重要性均采用7分Likert量表进行评分.计算每个项目的平均得分以确定是否达成共识。
结果：总体而言，43/74（58.1％）外科医生对我们的调查做出了回应。经过两轮编辑，28个组成部分达成共识，24接近共识，和26没有达成共识。达成最终共识的项目的平均(SD)评级为6.12(0.94)(范围，5.31-6.72)。
结论：被确定为支气管镜专家的小儿耳鼻喉科医师能够使用Delphi方法创建小儿喉镜和支气管镜手术注意事项的基本组成部分清单。达成共识的项目包括程序名称，呼吸的描述，气道视图等级，正常解剖结构的描述，如果存在声门下狭窄的级别，气管支气管软化的存在和描述，有瘘管,裂口和戒指，以及一些特殊情况，包括异物和气管造口术管理，以及手术结束和并发症。
方法：5喉镜，2022年。
