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Table 3 Recommendations where strength of agreement was agree (median ≥7) but variation in extent of agreement was moderate (MADM score 1.11-1.75)

From: Use of a formal consensus development technique to produce recommendations for improving the effectiveness of adult mental health multidisciplinary team meetings

  Recommendation Median Mean absolute deviation from the median (MADM)
25 MDT meetings should be a forum for recruiting patients to clinical trials 8 1.19
26 All MDTs should have a designated (rather than a rotating) Chair for MDT meetings 7 1.75
27 All MDTs should have a dedicated MDT coordinator/administrator 9 1.31
28 MDT Chairs should attend at least one other MDT meeting to identify approaches to improve their chairing skills 8 1.56
29 A patient list should be available for all team members to view in advance of an MDT meeting 8.5 1.31
30 Presentations should be explicitly framed in the light of a specific query or issue to be discussed 8 1.13
31 All MDTs should be audited through external peer-review 8.5 1.13
32 There should be time within MDT meetings to discuss current and emerging research and evidence only in relation to the case discussed 7.5 1.25
33 Relevant psychosocial issues for patients presented to each type of MDT should be identified and agreed by the MDT 7.5 1.44
34 The MDT member who presents the case should routinely consider psychosocial factors and ensure that relevant information is available at the meeting 8 1.19
35 Teams should be explicit about the research evidence that they are drawing on when making a decision in the MDT meeting 7 1.25
36 Patients should be given feedback on which professional groups were present when they were discussed at the MDT meeting 7.5 1.69
37 Patients should be given feedback every time they are discussed at an MDT meeting 8 1.25
38 Patients should be given written feedback about the outcome of the MDT meeting 7 1.63