Derivation of a procedural performance checklist for ultrasound-guided femoral arterial line placement using the modified Delphi method

2020 ◽  
Vol 21 (5) ◽  
pp. 715-722
Author(s):  
Jessica Baez ◽  
Elizabeth Powell ◽  
Megan Leo ◽  
Uwe Stolz ◽  
Lori Stolz

Background: Many specialties utilize procedural performance checklists as an aid to teach residents and other learners. Procedural checklists ensure that the critical steps of the desired procedure are performed in a specified manner every time. Valid measures of competency are needed to evaluate learners and ensure a standard quality of care. The objective of this study was to employ the modified Delphi method to derive a procedural checklist for use during placement of ultrasound-guided femoral arterial access. Methods: A 27-item procedural checklist was provided to 14 experts from three acute care specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback. Results: Three rounds of the study were performed resulting in a final 23-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist. Conclusion: A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings.

2017 ◽  
Vol 36 (6) ◽  
pp. 1147-1152 ◽  
Author(s):  
Derek Kunz ◽  
Manoj Pariyadath ◽  
Mary Wittler ◽  
Kim Askew ◽  
David Manthey ◽  
...  

2015 ◽  
Vol 7 (4) ◽  
pp. 567-573 ◽  
Author(s):  
Paru Patrawalla ◽  
Lewis Ari Eisen ◽  
Ariel Shiloh ◽  
Brijen J. Shah ◽  
Oleksandr Savenkov ◽  
...  

ABSTRACT Background Point-of-care ultrasound is an emerging technology in critical care medicine. Despite requirements for critical care medicine fellowship programs to demonstrate knowledge and competency in point-of-care ultrasound, tools to guide competency-based training are lacking. Objective We describe the development and validity arguments of a competency assessment tool for critical care ultrasound. Methods A modified Delphi method was used to develop behaviorally anchored checklists for 2 ultrasound applications: “Perform deep venous thrombosis study (DVT)” and “Qualify left ventricular function using parasternal long axis and parasternal short axis views (Echo).” One live rater and 1 video rater evaluated performance of 28 fellows. A second video rater evaluated a subset of 10 fellows. Validity evidence for content, response process, and internal consistency was assessed. Results An expert panel finalized checklists after 2 rounds of a modified Delphi method. The DVT checklist consisted of 13 items, including 1.00 global rating step (GRS). The Echo checklist consisted of 14 items, and included 1.00 GRS for each of 2 views. Interrater reliability evaluated with a Cohen kappa between the live and video rater was 1.00 for the DVT GRS, 0.44 for the PSLA GRS, and 0.58 for the PSSA GRS. Cronbach α was 0.85 for DVT and 0.92 for Echo. Conclusions The findings offer preliminary evidence for the validity of competency assessment tools for 2 applications of critical care ultrasound and data on live versus video raters.


2015 ◽  
Vol 34 (3) ◽  
pp. 314-331 ◽  
Author(s):  
Jennifer Banayan ◽  
Angela Blood ◽  
Yoon Soo Park ◽  
Sajid Shahul ◽  
Barbara M. Scavone

2015 ◽  
Vol 24 (6) ◽  
pp. 1116-1126 ◽  
Author(s):  
Lei Zang ◽  
Ning Fan ◽  
Yong Hai ◽  
S. B. Lu ◽  
Q. J. Su ◽  
...  

2009 ◽  
Vol 38 (4) ◽  
pp. 496-504 ◽  
Author(s):  
Tomoyo Sasahara ◽  
Yoshiyuki Kizawa ◽  
Tatsuya Morita ◽  
Yuumi Iwamitsu ◽  
Junji Otaki ◽  
...  

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