Table 1.
The Delphi approach of referral consensus for surgeons and GPs
| Implementation phase | Description | Responsible | Participants (n) | Hours | Cost (£) |
|---|---|---|---|---|---|
| 1 | Analysis of referral routines, review of the literature | PM and senior surgeon | 2 | 20 | 2,040 |
| 2 | Surgical team plenum discussion | All surgeons | 22 | 22 | 2,244 |
| 3 | Development of CDS 1.0 | PM Senior surgeon |
2 | 10 | 1,020 |
| 4 | Feedback on CDS 1.0 from expert surgeons | Expert surgeons | 3 | 9 | 918 |
| 5 | Development of CDS 2.0 | PM and senior surgeon | 2 | 5 | 510 |
| 6 | Presentation of CDS 2.0 to all surgeons | PM | 1 | 2 | 204 |
| 7 | Plenum discussion | All surgeons | 22 | 22 | 2,244 |
| 8 | Development of CDS 3.0 | PM and senior surgeon | 2 | 5 | 510 |
| 9 | Presentation of CDS 3.0 to general practitioners | PM and GPs | 3 | 3 | 306 |
| 10 | Final approval | Chief surgical department | 1 | 2 | 204 |
| 11 | Presentation of CDS 3.0 to EMR companies | PM and IT personnel | 3 | 3 | 321 |
| 12 | Presentation of CDS 3.0 to the IT department | PM and IT personnel | 3 | 3 | 321 |
| Total | 29 | 109 | 10,842 |
Abbreviations: CDS, clinical decision support; EMR, electronic medical record; GP, general practitioner; IT, information technology; PM, project manager.