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Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills

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Preparing for Emergency : A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills. / Melchiors, Jacob; Todsen, Tobias; Nilsson, Philip; Wennervaldt, Kasper; Charabi, Birgitte; Bøttger, Morten; Konge, Lars; von Buchwald, Christian.

I: Otolaryngology - Head and Neck Surgery, Bind 152, Nr. 2, 02.2015, s. 260-265.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Melchiors, J, Todsen, T, Nilsson, P, Wennervaldt, K, Charabi, B, Bøttger, M, Konge, L & von Buchwald, C 2015, 'Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills', Otolaryngology - Head and Neck Surgery, bind 152, nr. 2, s. 260-265. https://doi.org/10.1177/0194599814556722

APA

Melchiors, J., Todsen, T., Nilsson, P., Wennervaldt, K., Charabi, B., Bøttger, M., Konge, L., & von Buchwald, C. (2015). Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills. Otolaryngology - Head and Neck Surgery, 152(2), 260-265. https://doi.org/10.1177/0194599814556722

Vancouver

Melchiors J, Todsen T, Nilsson P, Wennervaldt K, Charabi B, Bøttger M o.a. Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills. Otolaryngology - Head and Neck Surgery. 2015 feb;152(2):260-265. https://doi.org/10.1177/0194599814556722

Author

Melchiors, Jacob ; Todsen, Tobias ; Nilsson, Philip ; Wennervaldt, Kasper ; Charabi, Birgitte ; Bøttger, Morten ; Konge, Lars ; von Buchwald, Christian. / Preparing for Emergency : A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills. I: Otolaryngology - Head and Neck Surgery. 2015 ; Bind 152, Nr. 2. s. 260-265.

Bibtex

@article{6b013cacc42649c1bb9208bab97984a2,
title = "Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills",
abstract = "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.",
keywords = "Airway Management, Cadaver, Clinical Competence, Cricoid Cartilage, Emergencies, Hospitals, University, Humans, Inservice Training, Manikins, Psychometrics, Reproducibility of Results, Video Recording",
author = "Jacob Melchiors and Tobias Todsen and Philip Nilsson and Kasper Wennervaldt and Birgitte Charabi and Morten B{\o}ttger and Lars Konge and {von Buchwald}, Christian",
note = "{\textcopyright} American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.",
year = "2015",
month = feb,
doi = "10.1177/0194599814556722",
language = "English",
volume = "152",
pages = "260--265",
journal = "Otolaryngology - Head and Neck Surgery",
issn = "0194-5998",
publisher = "SAGE Publications",
number = "2",

}

RIS

TY - JOUR

T1 - Preparing for Emergency

T2 - A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills

AU - Melchiors, Jacob

AU - Todsen, Tobias

AU - Nilsson, Philip

AU - Wennervaldt, Kasper

AU - Charabi, Birgitte

AU - Bøttger, Morten

AU - Konge, Lars

AU - von Buchwald, Christian

N1 - © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.

PY - 2015/2

Y1 - 2015/2

N2 - 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.

AB - 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.

KW - Airway Management

KW - Cadaver

KW - Clinical Competence

KW - Cricoid Cartilage

KW - Emergencies

KW - Hospitals, University

KW - Humans

KW - Inservice Training

KW - Manikins

KW - Psychometrics

KW - Reproducibility of Results

KW - Video Recording

U2 - 10.1177/0194599814556722

DO - 10.1177/0194599814556722

M3 - Journal article

C2 - 25385808

VL - 152

SP - 260

EP - 265

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

SN - 0194-5998

IS - 2

ER -

ID: 156032921