In the article by Cohen et al in this issue of Pediatrics concerning the establishment of pediatric injury prevention counseling priorities using the Delphi technique, the authors comment that the methods used to develop The Injury Prevention Program (TIPP) of the American Academy of Pediatrics have not been published for other program designers to apply. Given the importance of this activity as a part of pediatric primary care, we felt that it would be useful to share the approach that was used to develop TIPP.

In a comprehensive review of consensus methodology, a significant principle of great importance when formulating professional recommendations is stated as follows: “Decisions on important issues should be justified by reliance on available empirically derived data as well as judgments and experience.” This principle was fundamental to the design of the Academy's TIPP. In contrast to the Delphi technique, which relies wholly on opinions...

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