Documentation in Pediatric Microlaryngoscopy/Bronchoscopy: International Modified Delphi Consensus

• Published in: The Laryngoscope 2023-05, Vol.133 (5), p.1234-1238
• Main Authors: Neocleous, Penelope, Dzioba, Agnieszka, Strychowsky, Julie, Husein, Murad, Propst, Evan J., Nguyen, Lily HP, Wolter, Nikolaus E., You, Peng, Choi, Sukgi, Torre, Michele, Zalzal, George, Parikh, Sanjay, Mehta, Deepak, Graham, M. Elise
• Format: Article
• Language: English
• Subjects: Bronchoscopy; Checklist; Child; Consensus; Delphi; Delphi Technique; documentation; Humans; Laryngoscopy; operative note
• ISSN: 0023-852X; 1531-4995
• DOI: 10.1002/lary.30286

Background 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. Methods 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. Results 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). Conclusion 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. Level of Evidence 5 Laryngoscope, 133:1234–1238, 2023 Pediatric microlaryngoscopy and bronchoscopy is a common procedure where adequate documentation is crucial for patient care and medicolegal purposes. There is significant variability in operative reports. We sought to develop an expert consensus of the key components for operative documentation, to improve patient care, communication and research.