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The guidelines were written using the items most consistently endorsed by all three panels.
The strategy The first aider should not take on the person's responsibilities was endorsed by all three panels in Round 1, and the strategies The first aider should not use drugs with the person and The first aider should not cover up or make excuses for the person were accepted in Round 2 after re-rating.
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308 strategies were endorsed as essential or important by at least 80% of all three panels.
Across three rounds, 308 strategies were rated as essential or important by at least 80% across all three panels.
Additional file 4: Endorsed Items: List of the survey items that were endorsed by all five panels.
Additional file 5: Rejected Items: List of the survey items that were not endorsed by all five panels.
In this study, the level of agreement between panels was fair as measured by four-way kappa [ 28, 29], and roughly a quarter of all potential features was judged important by all four panels.
Therefore, this finding supports the stance that three features endorsed by all four panels should be considered important to the definition of CQI, two features that were not rated as important by any of the panels should not be discussed further, and five features endorsed by three panels require additional discussions.
A random selection of 25 consultation summaries was assessed by all eight panel members to determine their agreement.
The maximum score that could be achieved by a single item was 120, which would result only if the same item was ranked as the top challenge by all twelve panel members.
By the end of Phase III, all four panels agreed on the status of five out of eleven CQI features.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com