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Reliable and valid ...
Reliable and valid assessment of procedural skills in resuscitative endovascular balloon occlusion of the aorta
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- Engberg, Morten (författare)
- Copenhagen Academy for Medical Education and Simulation (CAMES), Centre for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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- Lönn, Lars (författare)
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Department of Radiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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- Konge, Lars (författare)
- Copenhagen Academy for Medical Education and Simulation (CAMES), Centre for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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- Mikkelsen, Søren (författare)
- The Mobile Emergency Care Unit, Department of Anaesthesiology and Intensive Care, Region of Southern Denmark, Odense University Hospital, Odense, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
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- Hörer, Tal M., 1971- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery and Department of Surgery, Faculty of Life Science,Örebro University Hospital
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- Lindgren, Hans (författare)
- Lund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital
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- Søvik, Edmund (författare)
- Department of Radiology and Nuclear Medicine, St. Olavs University Hospital, Trondheim, Norway
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- Svendsen, Morten Bo (författare)
- Copenhagen Academy for Medical Education and Simulation (CAMES), Centre for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark
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- Frendø, Martin (författare)
- Copenhagen Academy for Medical Education and Simulation (CAMES), Centre for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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- Taudorf, Mikkel (författare)
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Department of Radiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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- Russell, Lene (författare)
- Copenhagen Academy for Medical Education and Simulation (CAMES), Centre for Human Resources and Education, Capital Region of Denmark, Copenhagen, Denmark; Department of Intensive Care, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2021
- 2021
- Engelska.
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Ingår i: Journal of Trauma and Acute Care Surgery. - : Lippincott Williams & Wilkins. - 2163-0755 .- 2163-0763. ; 91:4, s. 663-671
- Relaterad länk:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Valid and reliable assessment of skills is essential for improved and evidence-based training concepts. In a recent study, we presented a novel tool to assess procedural skills in resuscitative endovascular balloon occlusion of the aorta (REBOA), REBOA-RATE, based on international expert consensus. Although expert consensus is a strong foundation, the performance of REBOA-RATE has not been explored. The study aimed to examine the reliability and validity of REBOA-RATE.METHODS: This was an experimental simulation-based study. We enrolled doctors with three levels of expertise to perform two REBOA procedures in a simulated scenario of out-of-hospital cardiac arrest. Procedures were video-recorded, and videos were blinded and randomized. Three clinical experts independently rated all procedures using REBOA-RATE. Data were analyzed using Messick's framework for validity evidence, including generalizability analysis of reliability and determination of a pass/fail standard.RESULTS: Forty-two doctors were enrolled: 16 novices, 13 anesthesiologists, and 13 endovascular experts. They all performed two procedures, yielding 84 procedures and 252 ratings. The REBOA-RATE assessment tool showed high internal consistency (Cronbach's alpha = 0.95) and excellent interrater reliability (intraclass correlation coefficient, 0.97). Assessment using one rater and three procedures could ensure overall reliability suitable for high-stakes testing (G-coefficient >0.80). Mean scores (SD) for the three groups in the second procedure were as follows: novices, 32% (24%); anesthesiologists, 55% (29%); endovascular experts, 93% (4%) (p < 0.001). The pass/fail standard was set at 81%, which all experts but no novices passed.CONCLUSION: Data strongly support the reliability and validity of REBOA-RATE, which successfully discriminated between all experience levels. The REBOA-RATE assessment tool requires minimal instruction, and one rater is sufficient for reliable assessment. Together, these are strong arguments for the use of REBOA-RATE to assess REBOA skills, allowing for competency-based training and certification concepts.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Resuscitative endovascular balloon occlusion of the aorta
- vascular access
- assessment tool
- skills
- clinical competence
- validation
- validity evidence
- simulation
- clinical competence
- Resuscitative endovascular balloon occlusion of the aorta
- simulation
- skills
- validation
- validity evidence
- vascular access, assessment tool
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Engberg, Morten
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Lönn, Lars
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Konge, Lars
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Mikkelsen, Søren
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Hörer, Tal M., 1 ...
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Lindgren, Hans
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Søvik, Edmund
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Svendsen, Morten ...
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Frendø, Martin
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Taudorf, Mikkel
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Russell, Lene
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
- Artiklar i publikationen
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Journal of Traum ...
- Av lärosätet
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Örebro universitet
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Lunds universitet