A national research agenda for pre-hospital emergency medical services in the Netherlands: a Delphi-study

Table 6 Median and Disagreement Index of the research topics Delphi IV (n = 60)

	Median (1–9)	Disagreement Index (> 1 disagreement)	Category^a
Non-conveyance	9	0.13	1
Performance measures for quality of care	7.5	0.16	1
Hand over/registration/exchange of patient data	7	0.16	1
Care and task substitution (MANP & PA)	7	0.37	1
Triage	7	0.37	1
Assessment of acute neurologic signs & symptoms	7	0.56	1
Protocols and protocol adherence	7	0.65	1
Immobilisation	6.5	0.52	1
Open/secure airway (e.g. intubation)	6.5	0.52	1
Pain management	6	0.52	2
Resuscitation & devices	6	0.56	2
Sepsis	6	0.52	2

^aCategory 1: the topic is appropriate (median of 7–9) and with consensus (disagreement index < 1); Category 2: the topic is appropriate (median 7–9), however without consensus, or the topic is somewhat appropriate (median 4–6) with or without consensus; and Category 3: the topic is not appropriate (median 1–3) with or without consensus in the panel. All topics within category 1 were added to the ambulance EMS research agenda

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