Evidence for validity for the Cognitive Load Inventory for Handoffs.

Medical Education
John Q YoungPatricia S O'Sullivan

Abstract

Patient handovers remain a significant patient safety challenge. Cognitive load theory (CLT) can be used to identify the cognitive mechanisms for handover errors. The ability to measure cognitive load types during handovers could drive the development of more effective curricula and protocols. No such measure currently exists. The authors developed the Cognitive Load Inventory for Handoffs (CLIH) using a multi-step process, including expert interviews to enhance content validity and talk-alouds to optimise response process validity. The final version contained 28 items. From January to March 2019, we administered a cross-sectional survey to 1807 residents and fellows from a large health care system in the USA. Participants completed the CLIH following a handover. Exploratory factor analysis of data from one-third of respondents identified high-performing items; confirmatory factor analysis of data from the remaining sample assessed model fit. Model fit was evaluated using the comparative fit index (CFI) (>0.90), Tucker-Lewis index (TFI) (>0.80), standardised root mean square residual (SRMR) (<0.08) and root mean square of error of approximation (RMSEA) (<0.08). Participants included 693 trainees (38.4%) (231 in the exploratory ...Continue Reading

References

Sep 26, 2003·Medical Education·Susan M Downing
Mar 31, 2004·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Emily S PattersonJosé Orlando Gomes
Oct 4, 2006·Annals of Internal Medicine·Tejal K GandhiDavid M Studdert
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Arpana R VidyarthiRobert M Wachter
Feb 5, 2008·Quality & Safety in Health Care·V M AroraH J Humphrey
Sep 10, 2008·Archives of Internal Medicine·Leora I HorwitzElizabeth H Bradley
Nov 27, 2008·Advances in Health Sciences Education : Theory and Practice·David A Cook, Thomas J Beckman
Nov 27, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Lee Ann RiesenbergKelly P Karpovich
Jan 19, 2010·Medical Education·Jeroen J G van Merriënboer, John Sweller
Jan 7, 2011·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·John Q Young, Stuart J Eisendrath
Oct 4, 2011·Annual Review of Psychology·Alan Baddeley
Mar 1, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Max V WohlauerUNKNOWN Handoff Education and Assessment for Residents (HEAR) Computer Supported Cooperative Workgroup
Apr 11, 2013·Behavior Research Methods·Jimmie LeppinkJeroen J G Van Merriënboer
Jan 24, 2014·Journal of Graduate Medical Education·Gail M Sullivan, Anthony R Artino
Mar 7, 2014·Medical Teacher·John Q YoungOlle Ten Cate
Mar 26, 2014·Medical Teacher·Anthony R ArtinoHunter Gehlbach
May 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Amy J StarmerUNKNOWN I-PASS Study Education Executive Committee
Nov 6, 2014·The New England Journal of Medicine·Amy J StarmerUNKNOWN I-PASS Study Group
May 29, 2015·Perspectives on Medical Education·Jimmie Leppink, Angelique van den Heuvel
May 29, 2015·Perspectives on Medical Education·John Q Young, Justin L Sewell
Jan 14, 2016·Perspectives on Medical Education·John Q YoungPatricia S O'Sullivan
Jan 21, 2016·BMJ Quality & Safety·John Q YoungDavid M Irby
Jan 21, 2016·Teaching and Learning in Medicine·John Q YoungDavid M Irby
May 14, 2016·Medical Education·Justin L SewellPatricia S O'Sullivan
Mar 30, 2017·SAGE Open Medicine·John Q YoungPatricia S O'Sullivan

❮ Previous
Next ❯

Citations

May 27, 2021·Advances in Health Sciences Education : Theory and Practice·John Q YoungPatricia S O'Sullivan
Sep 13, 2021·Journal of Biomedical Informatics·Maria Stefania Festila, Sune Dueholm Müller
Oct 28, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·John Q YoungPatricia S O'Sullivan

❮ Previous
Next ❯

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.