Delphi round 2 endorsement of clinicians and patients on individual care items for inclusion in the chronic obstructive pulmonary disease (COPD) discharge bundle
| Individual COPD care bundle items | Clinicians | Patients |
| n (%) | n (%) | |
| 1. Ensure adequate inhaler technique is demonstrated | 73 (98.6) | 9 (77.7) |
| 2. Send discharge summary to family physician | 73 (98.6) | 9 (88.9) |
| 3. Reconcile full range of respiratory medications | 73 (98.6) | 9 (100) |
| 4. Assess patient comprehension of discharge instructions | 73 (97.3) | 9 (100) |
| 5. Review full range of respiratory medications | 72 (97.2) | 9 (100) |
| 6. Arrange follow-up appointment with family physician. If patient does not have one, have him/her connected with one before discharge | 73 (95.8) | 9 (66.6) |
| 7. Prescribe maintenance respiratory medications | 72 (94.5) | 8 (88.9) |
| 8. Assess need for oxygen therapy (short-term or long-term domiciliary oxygen) | 72 (94.4) | 9 (77.8) |
| 9. Assess smoking status and provide counselling, as needed | 73 (91.7) | ns |
| 10. Assess need for home care | 71 (91.6) | ns |
| 11. Refer to smoking cessation programme, as needed | 71 (88.7) | ns |
| 12. Refer to pulmonary rehabilitation, as needed | 72 (86.2) | ns |
| 13. Provide recommendations about influenza vaccination | 72 (84.7) | ns |
| 14. Provide recommendations about pneumococcal vaccination | 73 (82.2) | 9 (88.8) |
| 15. Provide a written discharge action plan (a subacute plan of monitoring/management to prevent COPD relapse) | 72 (80.5) | 9 (88.8) |
| 16. Administer influenza vaccine, as needed | 73 (78) | ns |
| 17. Administer pneumococcal vaccine, as needed | 71 (71.8) | 9 (66.6) |
| 18. Arrange follow-up appointment with a specialist | ns | 9 (88.9) |
| 19. Provide written education about COPD + written action plan + ongoing case management | nsns | 9 (88.8) |
Endorsement≥80% indicated in bold.
N, the total number of respondents per individual item; ns, not selected for round 2.