TEST-RETEST RELIABILITY OF ASSESSMENT OF ANAESTHETIST’S PERFORMANCE IN MANAGING SERIOUS ADVERSE EVENTS ON A SCREEN-BASED COMPUTER SIMULATOR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 79
Abstract
BACKGROUND Serious Adverse Events (SAE) during anaesthesia procedure are uncommon, but potentially fatal. Traditional methods to assess the performance of anaesthetists in SAE management are largely subjective and unreliable. In this study, we assessed the testretest reliability of the assessment of performance of anaesthetists in managing SAE during anaesthesia procedure by determining if different observations assessing the same clinical scenario on a computer screen based anaesthesia simulator would have agreement on the rating of the anaesthetist’s performance. MATERIALS AND METHODS Three SAE scenarios on a computer screen based simulator were used for assessment. From a pilot study, the minimum number of trials beyond which there is little or no improvement of performance was determined for each SAE scenario. Six fresher anaesthesia postgraduates were enrolled. Each participant undertook ten trials for each SAE scenario and submitted the trial-logs in PDF format to the investigator. SAE detection latency, initial treatment latency period and SAE treatment completion period were collected from the simulator trial logs. Test-retest reliability (internal consistency) between trials was assessed with Pearson’s Product Moment Correlation Coefficient. Scatter plot of improvement of latency period and treatment time versus the number of simulator trials were used to characterise the learning curves. Regression model fitting of the learning curve was used to find the best fit model for the learning curve. RESULTS There was significant test-retest reliability and internal consistency between the trials for each of the three SAE scenarios. CONCLUSION PC based simulated SAE scenarios are effective and reliable for the assessment of performance of fresher anaesthesia postgraduates.
Authors and Affiliations
Jyotirmay Kirtania, Shreyasi Ray
Keywords
Related Articles
- EP ID EP268061
- DOI 10.14260/jemds/2017/1210
- Views 70
- Downloads 0
NON-COMPACTION CARDIOMYOPATHY IN AN APPARENTLY HEALTHY PATIENT: A CASE REPORT
Non-compaction cardiomyopathy is a rare genetic cardiomyopathy caused by a disorder during endocardial morphogenesis and could be accompanied by life-threatening complications on presentation. The major clinic...
PREGNANCY OUTCOME AFTER MITRAL VALVE REPLACEMENT: A CASE REPORT[b][/b]
Cardiac disorders in pregnancy poses special challenges to health care providers. Complications may arise at any stage due to increased hemodynamic load imposed by pregnancy or because of impaired cardiac perf...
PREVALENCE OF OBSTRUCTIVE SLEEP APNOEA IN ODISHA POPULATION- A CAMP BASED QUESTIONNAIRE SURVEY
BACKGROUND Obstructive sleep apnoea (OSA) is a disorder of most serious form among the sleep disordered breathing, which has become highly prevalent and negatively affects the quality of life. Its prevalence globally is...
ROLE OF FINE NEEDLE ASPIRATION CYTOLOGY OF TESTES IN AZOOSPERMIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Male infertility is a common problem1,2 that can be devastating for a couple to conceive. Studies reveal that 15%, 1 - 4 of all future marriages face the problem of infertility. The WHO has reported a global p...
ROLE OF REAL TIME ULTRASOUND AND DOPPLER STUDY OF UMBILICAL ARTERY IN EVALUATION OF INTRAUTERINE GROWTH RETARDATION
This one-year prospective study was carried out at a tertiary care hospital in Ludhiana, Punjab, on patients visiting antenatal OPD (Outpatient Department) in the third trimester with clinical suspicion of IUGR (...