1
|
Hill J, Irwin-Porter G, Buckley LA. Surgical safety checklists in UK veterinary practice: Current implementation and attitudes towards their use. Vet Rec 2023; 192:e2484. [PMID: 36607140 DOI: 10.1002/vetr.2484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 11/10/2022] [Accepted: 11/15/2022] [Indexed: 01/07/2023]
Abstract
BACKGROUND Surgical safety checklist (SSC) use benefits veterinary patients, but endorsement and implementation are essential for these benefits to be observed. METHODS A cross-sectional survey assessed UK veterinary professionals' attitudes towards and usage of SSCs and identified factors associated with poorer attitude or failure to use SSCs. RESULTS Of 513 respondents, 70% used SSCs. Of these, 87.1% used SSCs for every surgical procedure, 19.1% adapted SSCs for different procedures and 61.1% had a standard operating procedure detailing how to use SSCs. Attitudes towards SSC use were favourable, with increased positive attitude associated with employing at least one registered veterinary nurse with a post-qualifying qualification (p < 0.001), current SSC use (p < 0.001), undertaking self-directed reading (p = 0.033) or completing SSC-relevant post-qualification continuing professional development (p = 0.005). Factors associated with veterinary practices not using SSCs included Practice Standards Scheme (PSS) non-membership (odds ratio [OR] 2.0, 1.1-3.4), no RCVS hospital status (OR 1.9, 1.1-3.5) or being a mixed first-opinion veterinary practice (OR 2.4, 1.2-5.0). LIMITATIONS Study limitations include sampling methodology and non-validated attitudinal scale usage. CONCLUSION Most respondents used SSCs. Familiarity, education and the RCVS PSS were associated with improved uptake and attitudes, but mixed practice was associated with reduced usage.
Collapse
Affiliation(s)
- Jessica Hill
- Bristol Veterinary School, University of Bristol, Langford, UK
- Paragon Veterinary Referrals, Wakefield, UK
| | | | - Louise A Buckley
- Deanery of Clinical Sciences, University of Edinburgh, Edinburgh, UK
| |
Collapse
|
2
|
Bergauer L, Akbas S, Braun J, Ganter MT, Meybohm P, Hottenrott S, Zacharowski K, Raimann FJ, Rivas E, López-Baamonde M, Spahn DR, Noethiger CB, Tscholl DW, Roche TR. Visual Blood, Visualisation of Blood Gas Analysis in Virtual Reality, Leads to More Correct Diagnoses: A Computer-Based, Multicentre, Simulation Study. Bioengineering (Basel) 2023; 10:bioengineering10030340. [PMID: 36978731 PMCID: PMC10044755 DOI: 10.3390/bioengineering10030340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/03/2023] [Accepted: 03/06/2023] [Indexed: 03/11/2023] Open
Abstract
Interpreting blood gas analysis results can be challenging for the clinician, especially in stressful situations under time pressure. To foster fast and correct interpretation of blood gas results, we developed Visual Blood. This computer-based, multicentre, noninferiority study compared Visual Blood and conventional arterial blood gas (ABG) printouts. We presented six scenarios to anaesthesiologists, once with Visual Blood and once with the conventional ABG printout. The primary outcome was ABG parameter perception. The secondary outcomes included correct clinical diagnoses, perceived diagnostic confidence, and perceived workload. To analyse the results, we used mixed models and matched odds ratios. Analysing 300 within-subject cases, we showed noninferiority of Visual Blood compared to ABG printouts concerning the rate of correctly perceived ABG parameters (rate ratio, 0.96; 95% CI, 0.92–1.00; p = 0.06). Additionally, the study revealed two times higher odds of making the correct clinical diagnosis using Visual Blood (OR, 2.16; 95% CI, 1.42–3.29; p < 0.001) than using ABG printouts. There was no or, respectively, weak evidence for a difference in diagnostic confidence (OR, 0.84; 95% CI, 0.58–1.21; p = 0.34) and perceived workload (Coefficient, 2.44; 95% CI, −0.09–4.98; p = 0.06). This study showed that participants did not perceive the ABG parameters better, but using Visual Blood resulted in more correct clinical diagnoses than using conventional ABG printouts. This suggests that Visual Blood allows for a higher level of situation awareness beyond individual parameters’ perception. However, the study also highlighted the limitations of today’s virtual reality headsets and Visual Blood.
Collapse
Affiliation(s)
- Lisa Bergauer
- Institute of Anaesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland
| | - Samira Akbas
- Institute of Anaesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland
- Correspondence: ; Tel.: +41-43-253-2242
| | - Julia Braun
- Departments of Epidemiology and Biostatistics, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland
| | - Michael T. Ganter
- Institute of Anaesthesiology and Intensive Care Medicine, Clinic Hirslanden Zurich, 8032 Zurich, Switzerland
| | - Patrick Meybohm
- Department of Anaesthesiology, Intensive Care, Emergency, and Pain Medicine, University Hospital Wuerzburg, University of Wuerzburg, 97080 Wuerzburg, Germany
| | - Sebastian Hottenrott
- Department of Anaesthesiology, Intensive Care, Emergency, and Pain Medicine, University Hospital Wuerzburg, University of Wuerzburg, 97080 Wuerzburg, Germany
| | - Kai Zacharowski
- Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, 60323 Frankfurt, Germany
| | - Florian J. Raimann
- Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, 60323 Frankfurt, Germany
| | - Eva Rivas
- Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, Hospital Clinic of Barcelona, University of Barcelona, 08036 Barcelona, Spain
| | - Manuel López-Baamonde
- Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, Hospital Clinic of Barcelona, University of Barcelona, 08036 Barcelona, Spain
| | - Donat R. Spahn
- Institute of Anaesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland
| | | | - David W. Tscholl
- Institute of Anaesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland
| | - Tadzio R. Roche
- Institute of Anaesthesiology, University Hospital Zurich, 8091 Zurich, Switzerland
| |
Collapse
|
3
|
Shelton CL, Klein AA, Bailey CR, El-Boghdadly K. The Anaesthesia Case Report (ACRE) checklist: a tool to promote high-quality reporting of cases in peri-operative practice. Anaesthesia 2021; 76:1077-1081. [PMID: 33440026 DOI: 10.1111/anae.15391] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2020] [Indexed: 12/11/2022]
Abstract
Case reports have fulfilled an important role in the development of anaesthesia and continue to be highly relevant to modern practice. Despite this, they are sometimes criticised for being insufficiently rigorous to meaningfully inform clinical practice or research design. Reporting checklists are a useful tool to improve rigour in research and, although case report checklists have previously been developed, no existing checklist focuses on the peri-operative setting. In order to address the need for a case reports checklist that better accommodates peri-operative care, we used an established tool as the basis for developing the 12-item Anaesthesia Case Report checklist. This was refined using an iterative approach through feedback from journal editors with experience of handling case reports, patient and public involvement, and trialling its use on Anaesthesia Reports submissions. The Anaesthesia Case Report checklist differs from existing checklists by aligning with peri-operative practice; it places less emphasis on making diagnoses and focuses on the way in which clinical challenges, for example, related to the patient's comorbidities or operative interventions, are addressed. Adopting a standardised approach to the content of case reports presents clear benefits to authors, editors and peer reviewers through streamlining the processes involved in writing and publication. The Anaesthesia Case Report checklist provides a pragmatic framework for comprehensive and transparent reporting. We hope it will facilitate the authorship of high-quality case reports with the potential to further improve the quality and safety of peri-operative care.
Collapse
Affiliation(s)
- C L Shelton
- Department of Anaesthesia, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.,Lancaster Medical School, Lancaster University, Lancaster, UK
| | - A A Klein
- Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK
| | - C R Bailey
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Kings College London, UK
| | - K El-Boghdadly
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Kings College London, UK
| |
Collapse
|
4
|
E J SK, Purva M, Chander M S, Parameswari A. Impact of repeated simulation on learning curve characteristics of residents exposed to rare life threatening situations. BMJ SIMULATION & TECHNOLOGY ENHANCED LEARNING 2020; 6:351-355. [DOI: 10.1136/bmjstel-2019-000496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/04/2019] [Indexed: 11/03/2022]
Abstract
BackgroundLittle is known about the learning curve characteristics of residents undertaking simulation-based education. It is important to understand the time for acquisition and decay of knowledge and skills needed to manage rare and difficult clinical situations.MethodTen anaesthesiology residents underwent simulation-based education to manage a cannot intubate cannot ventilate scenario during general anaesthesia for caesarean section. Their performance was measured using an assessment tool and debriefed by two experienced anaesthesiologists. The parameters against which the performance was judged were grouped into preoperative assessment, preoperative patient care, equipment availability, induction sequence, communication and adherence to airway algorithm protocol. The scenario was repeated at 6 and 12 months thereafter. The residents’ acquisition of knowledge, technical and non-technical skills were assessed and compared at baseline, 6 months and end of 12 months.ResultThe skills of preoperative assessment, preoperative care and communication quickly improved but the specific skill of managing a difficult airway as measured by adherence to an airway algorithm required more than 6 months (CI at 6 vs 12 months: −3.4 to –0.81, p=0.016). The skills of preoperative assessment and preoperative care improved to a higher level quickly and were retained at this improved level. Communication (CI at 0 vs 6 months: −3.78 to −0.22, p=0.045 and at 6 vs 12 months : −3.39 to −1.49, p=0.007) and difficult airway management skill were slower to improve but continued to do so over the 12 months. The compliance to machine check was more gradual and showed an improvement at 12 months.ConclusionOur study is unique in analysing the learning curve characteristics of different components of a failed obstetric airway management skill. Repeated simulations over a longer period of time help in better reinforcement, retention of knowledge, recapitulation and implementation of technical and non-technical skills.
Collapse
|
5
|
Jones CPL, Fawker-Corbett J, Groom P, Morton B, Lister C, Mercer SJ. Human factors in preventing complications in anaesthesia: a systematic review. Anaesthesia 2018; 73 Suppl 1:12-24. [DOI: 10.1111/anae.14136] [Citation(s) in RCA: 55] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2017] [Indexed: 12/17/2022]
Affiliation(s)
- C. P. L. Jones
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
- Defence Medical Services; Royal Centre for Defence Medicine; Queen Elizabeth Hospital Birmingham; Mindelsohn Way, Edgbaston; Birmingham UK
| | - J. Fawker-Corbett
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
| | - P. Groom
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
| | - B. Morton
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
- Liverpool School of Tropical Medicine; Pembroke Place; Liverpool UK
| | - C. Lister
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
| | - S. J. Mercer
- Aintree University Hospital NHS Foundation Trust; Longmoor Lane, Aintree; Liverpool UK
- Defence Medical Services; Royal Centre for Defence Medicine; Queen Elizabeth Hospital Birmingham; Mindelsohn Way, Edgbaston; Birmingham UK
- Postgraduate School of Medicine; University of Liverpool; Cedar House, Ashton Street; Liverpool UK
| |
Collapse
|
6
|
Does an electronic cognitive aid have an effect on the management of severe gynaecological TURP syndrome? A prospective, randomised simulation study. BMC Anesthesiol 2017; 17:72. [PMID: 28558697 PMCID: PMC5450103 DOI: 10.1186/s12871-017-0365-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 05/22/2017] [Indexed: 11/30/2022] Open
Abstract
Background Lack of familiarity with the content of current guidelines is a major factor associated with non-compliance by clinicians. It is conceivable that cognitive aids with regularly updated medical content can guide clinicians’ task performance by evidence-based practices, even if they are unfamiliar with the actual guideline. Acute hyponatraemia as a consequence of TURP syndrome is a rare intraoperative event, and current practice guidelines have changed from slow correction to rapid correction of serum sodium levels. The primary objective of this study was to compare the management of a simulated severe gynaecological transurethral resection of the prostate (TURP) syndrome under spinal anaesthesia with either: an electronic cognitive aid, or with management from memory alone. The secondary objective was to assess the clinical relevance and participant perception of the usefulness of the cognitive aid. Methods Anaesthetic teams were allocated to control (no cognitive aid; n = 10) or intervention (cognitive aid provided; n = 10) groups. We identified eight evidence-based management tasks for severe TURP syndrome from current guidelines and subdivided them into acute heart failure (AHF)/pulmonary oedema tasks (5) and acute hyponatraemia tasks (3). Implementation of the treatment steps was measured by scoring task items in a binary fashion (yes/no). To assess whether or not the cognitive aid had prompted a treatment step, participants from the cognitive aid group were questioned during debriefing on every single treatment step. At the end of the simulation, session participants were asked to complete a survey. Results Teams in the cognitive aid group considered evidence-based treatment steps significantly more often than teams of the control group (96% vs. 50% for ‘AHF/pulmonary oedema’ p < 0.001; 79% vs. 12% for ‘acute hyponatraemia’ p < 0.001). Without the cognitive aid, performance would have been comparable across both groups. Nurses, trainees, and consultants derived equal benefit from the cognitive aid. Conclusions The cognitive aid improved the implementation of evidence-based practices in a simulated intraoperative scenario. Cognitive aids with current medical content could help to close the translational gap between guideline publication and implementation in acute patient care. It is important that the cognitive aid should be familiar, in a format that has been used in practice and training. Electronic supplementary material The online version of this article (doi:10.1186/s12871-017-0365-8) contains supplementary material, which is available to authorized users.
Collapse
|
7
|
Harvey R, Foulds L, Housden T, Bennett KA, Falzon D, McNarry AF, Graham C. The impact of didactic read-aloud action cards on the performance of cannula cricothyroidotomy in a simulated ‘can't intubate can't oxygenate’ scenario. Anaesthesia 2016; 72:343-349. [DOI: 10.1111/anae.13643] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2016] [Indexed: 12/31/2022]
Affiliation(s)
- R. Harvey
- Department of Anaesthesia; Borders General Hospital; Melrose UK
| | - L. Foulds
- Department of Anaesthesia; Ninewell's Hospital; Dundee UK
| | - T. Housden
- Department of Anaesthesia; St John's Hospital; NHS Lothian; Livingston UK
| | - K. A. Bennett
- Department of Anaesthesia; Wishaw General Hospital; Wishaw UK
| | - D. Falzon
- Department of Anaesthesia; Edinburgh Royal Infirmary; NHS Lothian; Edinburgh UK
| | - A. F. McNarry
- Departments of Anaesthesia; The Western General and St John's Hospital; NHS Lothian; Edinburgh UK
| | - C. Graham
- Epidemiology and Statistics Core; Wellcome Trust Clinical Research Facility; University of Edinburgh; Edinburgh UK
| |
Collapse
|
8
|
Chrimes N. The Vortex: a universal ‘high-acuity implementation tool’ for emergency airway management. Br J Anaesth 2016; 117 Suppl 1:i20-i27. [DOI: 10.1093/bja/aew175] [Citation(s) in RCA: 114] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2016] [Indexed: 12/31/2022] Open
|
9
|
Behrens V, Dudaryk R, Nedeff N, Tobin JM, Varon AJ. The Ryder Cognitive Aid Checklist for Trauma Anesthesia. Anesth Analg 2016; 122:1484-7. [DOI: 10.1213/ane.0000000000001186] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
10
|
Smith MA, Byrne AJ. 'Help! I need somebody': getting timely assistance in clinical practice. Anaesthesia 2016; 71:755-9. [PMID: 27079288 DOI: 10.1111/anae.13497] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M A Smith
- University of Newcastle-upon-Tyne, Newcastle-upon-Tyne, UK.
| | - A J Byrne
- Institute of Medical Education, College of Biomedical and Life Sciences, Cardiff University School of Medicine, Cardiff, UK
| |
Collapse
|
11
|
Mushambi MC, Kinsella SM, Popat M, Swales H, Ramaswamy KK, Winton AL, Quinn AC. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia 2016; 70:1286-306. [PMID: 26449292 PMCID: PMC4606761 DOI: 10.1111/anae.13260] [Citation(s) in RCA: 298] [Impact Index Per Article: 37.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2015] [Indexed: 12/16/2022]
Abstract
The Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in the obstetric patient, and emphasises: planning and multidisciplinary communication; how to prevent the rapid oxygen desaturation seen in pregnant women by advocating nasal oxygenation and mask ventilation immediately after induction; limiting intubation attempts to two; and consideration of early release of cricoid pressure if difficulties are encountered. Algorithm 2 summarises the management after declaring failed tracheal intubation with clear decision points, and encourages early insertion of a (preferably second-generation) supraglottic airway device if appropriate. Algorithm 3 covers the management of the 'can't intubate, can't oxygenate' situation and emergency front-of-neck airway access, including the necessity for timely perimortem caesarean section if maternal oxygenation cannot be achieved. Table 1 gives a structure for assessing the individual factors relevant in the decision to awaken or proceed should intubation fail, which include: urgency related to maternal or fetal factors; seniority of the anaesthetist; obesity of the patient; surgical complexity; aspiration risk; potential difficulty with provision of alternative anaesthesia; and post-induction airway device and airway patency. This decision should be considered by the team in advance of performing a general anaesthetic to make a provisional plan should failed intubation occur. The table is also intended to be used as a teaching tool to facilitate discussion and learning regarding the complex nature of decision-making when faced with a failed intubation. Table 2 gives practical considerations of how to awaken or proceed with surgery. The background paper covers recommendations on drugs, new equipment, teaching and training.
Collapse
Affiliation(s)
- M C Mushambi
- Department of Anaesthesia, Leicester Royal Infirmary, Leicester, UK
| | - S M Kinsella
- Department of Anaesthesia, St Michael's Hospital, Bristol, UK
| | - M Popat
- Nuffield Department of Anaesthesia, Oxford University Hospital NHS Trust, Oxford, UK
| | - H Swales
- Department of Anaesthesia, University Hospitals Southampton Foundation Trust, Southampton, UK
| | - K K Ramaswamy
- Department of Anaesthesia, Northampton General Hospital, Northampton, UK
| | - A L Winton
- Department of Anaesthesia, St Michael's Hospital, Bristol, UK
| | - A C Quinn
- Department of Anaesthesia, James Cook University Hospital, Middlesborough, UK.,Leeds University, Leeds, UK
| | | | | |
Collapse
|
12
|
Palanisamy A, Jenkins B. Patient safety vs social hierarchy - too close to call? Anaesthesia 2015; 70:1110-3. [DOI: 10.1111/anae.13213] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- A. Palanisamy
- Department of Anesthesiology, Perioperative and Pain Medicine; Brigham and Women's Hospital; Harvard Medical School; Boston Massachussetts USA
| | - B. Jenkins
- Institute for Medical Education; Cardiff University; Cardiff UK
| |
Collapse
|
13
|
Jenkins B. Training and assessment of non-technical skills in the operating theatre: where next? Anaesthesia 2015; 70:897-902. [DOI: 10.1111/anae.13182] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- B. Jenkins
- Institute for Medical Education; Cardiff University; Cardiff UK
| |
Collapse
|
14
|
Affiliation(s)
- Matthew McMillan
- Queen's Veterinary School Hospital, Department of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, UK
| |
Collapse
|
15
|
Evans D, McCahon R, Barley M, Norris A, Khajuria A, Moppett I. Cognitive Aids in Medicine Assessment Tool (CMAT): preliminary validation of a novel tool for the assessment of emergency cognitive aids. Anaesthesia 2015; 70:922-32. [PMID: 25758401 DOI: 10.1111/anae.13015] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/27/2014] [Indexed: 01/29/2023]
Abstract
Applying human factors principles to the design of clinical emergency guidelines is important. The UK Civil Aviation Authority uses a Checklist Assessment Tool for evaluating the content and usability of emergency drills before introduction into service on aircraft. We hypothesised that this model could be used to develop a generic medical tool. A three-stage modified Delphi process was used to adapt the above tool for use in designing medical emergency guidelines. The resulting Cognitive aids in Medicine Assessment Tool was then used to score and rank seven published difficult airway guidelines; the scores were used to assess its validity and reliability. Pearson's rank coefficient between these scores and scores from independent assessors was 0.89 (p = 0.007). Internal consistency, as assessed by Cronbach's alpha, was 0.74, 0.96 and 0.72 for the tool's three constituent domains of physical characteristics, content and layout/format, respectively. Inter-rater reliability, as assessed by Cohen's kappa, ranged from 0.33 to 0.72. The adoption of our tool has the potential to improve the usability of medical emergency guidelines.
Collapse
Affiliation(s)
- D Evans
- Anaesthesia and Critical Care Research Group, University of Nottingham, Nottingham, UK
| | - R McCahon
- Anaesthesia and Critical Care Research Group, University of Nottingham, Nottingham, UK.,Department of Anaesthesia, Queen's Medical Centre, Nottingham, UK
| | - M Barley
- Department of Anaesthesia, Queen's Medical Centre, Nottingham, UK
| | - A Norris
- Anaesthesia and Critical Care Research Group, University of Nottingham, Nottingham, UK.,Department of Anaesthesia, Queen's Medical Centre, Nottingham, UK
| | - A Khajuria
- Anaesthesia and Critical Care Research Group, University of Nottingham, Nottingham, UK
| | - I Moppett
- Anaesthesia and Critical Care Research Group, University of Nottingham, Nottingham, UK
| |
Collapse
|
16
|
Phillips SN, Combeer E, Mackenzie M. Cognitive aid for malignant hyperpyrexia. Anaesthesia 2014; 69:1058-60. [DOI: 10.1111/anae.12817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|