Reliability of a procedural checklist as a high-stakes measurement of advanced technical skill

American Journal of Surgery
Sarah E PeyreMaura E Sullivan

Abstract

The purpose of this study was to determine the reliability of a previously validated laparoscopic Nissen fundoplication procedural checklist as a measurement of advanced technical skill. Five surgeons, using a 65-step procedural checklist, independently evaluated 2 video recordings of expert surgeon operative performances of a laparoscopic Nissen fundoplication. Results were analyzed for percent agreement and Fleiss kappa correlation for each operation independently and combined as a whole. Sixty-four of the 65 steps had 80% or higher percent agreement for both operative case A and B independently and when considered overall. The Fleiss kappa coefficients for operative case A (kappa = .95) and operative case B (kappa = .96) and overall (operative case A + B) (kappa = .95). The percentage agreement and kappa coefficients for all 3 analyses indicate a high degree of reliability (>.80) that would support the use of this instrument for high-stakes assessment of a laparoscopic Nissen fundoplication.

References

Mar 1, 1997·American Journal of Surgery·R ReznickW McCulloch
Aug 26, 2004·Medical Education·Steven M Downing
Apr 12, 2005·American Journal of Surgery·Simon BannAra Darzi
Feb 23, 2007·The British Journal of Surgery·J D BeardUNKNOWN Vascular Society of Great Britain and Ireland
May 26, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Nasir I Bhatti, Charles W Cummings
Apr 29, 2008·Journal of Surgical Education·Mohsen TavakolReg Dennick
Feb 24, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M C M WillemsJ D Blankensteijn

❮ Previous
Next ❯

Citations

Nov 3, 2012·Neurosurgical Focus·Scott L ZuckermanJ Mocco
May 24, 2011·International Journal of Oral and Maxillofacial Surgery·B Perea-PérezE Labajo González
Sep 1, 2015·Actas urologicas españolas·J Sánchez-FernándezF M Sánchez-Margallo
Mar 17, 2015·Neurosurgery Clinics of North America·Scott L ZuckermanJ Mocco
Jan 21, 2017·Survey of Ophthalmology·Alice C Lorch, Carolyn E Kloek
May 4, 2018·Surgical Endoscopy·Elif BilgicMelina C Vassiliou

❮ 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.