Table 1.
Example of Delphi questionnaire
| Title of indicator: | ||||||
|---|---|---|---|---|---|---|
| Definition: | ||||||
| Criteria | Totally disagree | Moderately agree | Totally agree | Score | ||
| 1. Scientific evidence (The scientific evidence is sufficient) |
1 | 2 | 3 | 4 | 5 | |
| 2. Usefulness (The indicator is capable of being guidance of clinical practices) |
1 | 2 | 3 | 4 | 5 | |
| 3. Interpretability (The indicator can be interpreted by clinicians) |
1 | 2 | 3 | 4 | 5 | |
| 4. Validity (The indicator can measure the quality of care and has potential for improvement in clinical practices) |
1 | 2 | 3 | 4 | 5 | |
| 5. Preventability (The indicator has ability of prevent adverse outcomes) |
1 | 2 | 3 | 4 | 5 | |
| 6. Feasibility (The feasibility of data collection) |
1 | 2 | 3 | 4 | 5 | |
| Overall Assessment | Cannot include | Could include | Must include | Score | ||
| 1 | 2 | 3 | 4 | 5 | ||
| Suggestions: | ||||||