Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
OBJECTIVE: Emergency cricothyrodotomy (EC) is a lifesaving procedure. Evidence-based assessment of training effects and competency levels is relevant to all departments involved in emergency airway management. As most training uses low-fidelity models, the predictive value of good performance on such a model becomes relevant with regard to performance on a high-fidelity model (cadaver). This requires a valid assessment tool for EC performance.
STUDY DESIGN: Psychometric study on low-fidelity models and human cadavers.
SETTING: University hospital.
SUBJECTS AND METHODS: An assessment tool was created. Sixteen physicians (7 experienced surgeons and 9 novice physicians) performed an EC on a low-fidelity model and a cadaver. Two blinded raters assessed video recordings of performances using the assessment tool.
RESULTS: We found a high interrater reliability, based on a Pearson's r (0.81), and good evidence for validity, based on successfully distinguishing the 2 groups, using an independent samples t test (P < .001). We found a good correlation between performance on a low-fidelity model and the cadaver with an R (2) = 0.78.
CONCLUSION: The tool for assessing EC competence proved reliable and valid. Performance on a low-fidelity model measured this way is a good predictor of performance in a more lifelike situation.
Originalsprog | Engelsk |
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Tidsskrift | Otolaryngology - Head and Neck Surgery |
Vol/bind | 152 |
Udgave nummer | 2 |
Sider (fra-til) | 260-265 |
Antal sider | 6 |
ISSN | 0194-5998 |
DOI | |
Status | Udgivet - feb. 2015 |
ID: 156032921