Development and validation of clinical performance assessment in simulated medical emergencies: an observational study

BMC Emergency Medicine
Aysen ErdoganJohn C O'Horo

Abstract

Critical illness is a time-sensitive process which requires practitioners to process vast quantities of data and make decisions rapidly. We have developed a tool, the Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN), aimed at enhancing care delivery in such situations. To determine the efficacy of CERTAIN and similar cognitive aids, we developed rubric for evaluating provider performance in a simulated medical resuscitation environments. We recruited 18 clinicians with current valid ACLS certification for evaluation in three simulated medical scenarios designed to mimic typical medical decompensation events routinely experienced in clinical care. Subjects were stratified as experienced or novice based on prior critical care training. A checklist of critical actions was designed using face validity for each scenario to evaluate task completion and performance. Simulation sessions were video recorded and scored by two independent raters. Construct validity was assessed under the assumption that experienced clinicians should perform better than novice clinicians on each task. Reliability was assessed as percentage agreement, kappa statistics and Bland-Altman plots as appropriate. Eleven experts and seven no...Continue Reading

References

Apr 17, 2003·British Journal of Anaesthesia·G FletcherR Patey
Jan 20, 2007·Critical Care Medicine·Einar OttestadGeoffrey K Lighthall
Dec 13, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Brigette HalesWilliam Sibbald
Apr 1, 2007·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·James F MalecVaishali Phatak
Dec 16, 2010·Journal of Surgical Education·Debra M EagleDavid Farley
Feb 1, 2011·Journal of the American College of Surgeons·Louise HullNick Sevdalis
Apr 16, 2013·BMJ : British Medical Journal·Henrica C W de VetDirk L Knol
Apr 27, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·David A CookRose Hatala
Nov 13, 2013·Intensive Care Medicine·Michael J Lanspa, Stacy A Johnson
Dec 12, 2013·Journal of General Internal Medicine·Rachel D A HavyerDarcy A Reed
May 16, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Michael A Rosen, Peter J Pronovost
May 16, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Jan SchmutzTanja Manser
May 29, 2014·The Permanente Journal·Aaron William CalhounKaren H Miller

❮ Previous
Next ❯

Citations

Oct 27, 2018·Neurocritical Care·Nicholas A MorrisAarti Sarwal
Sep 19, 2018·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Min ShaoYue Dong

❮ Previous
Next ❯

Methods Mentioned

BETA
X ray

Software Mentioned

TEAM
CERTAIN
OSCAR

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Matthew D McEvoyMark E Nunnally
Journal of Strength and Conditioning Research
Kate I MinickRobert J Butler
The Western Journal of Emergency Medicine
Meghan SchottSally A Santen
© 2022 Meta ULC. All rights reserved