运用改良德尔菲法制定超声引导下关节穿刺术操作检查表
Derivation of a Performance Checklist for Ultrasound-Guided Arthrocentesis Using the Modified Delphi Method.
作者信息
Kunz Derek, Pariyadath Manoj, Wittler Mary, Askew Kim, Manthey David, Hartman Nicholas
机构信息
Georgetown University School of Medicine, Washington, DC, USA.
Department of Emergency Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
出版信息
J Ultrasound Med. 2017 Jun;36(6):1147-1152. doi: 10.7863/ultra.16.08004. Epub 2017 Mar 20.
OBJECTIVES
Arthrocentesis is an important skill for physicians in multiple specialties. Recent studies indicate a superior safety and performance profile for this procedure using ultrasound guidance for needle placement, and improving quality of care requires a valid measurement of competency using this modality.
METHODS
We endeavored to create a validated tool to assess the performance of this procedure using the modified Delphi technique and experts in multiple disciplines across the United States.
RESULTS
We derived a 22-item checklist designed to assess competency for the completion of ultrasound-guided arthrocentesis, which demonstrated a Cronbach's alpha of 0.89, indicating an excellent degree of internal consistency.
CONCLUSIONS
Although we were able to demonstrate content validity for this tool, further validity evidence should be acquired after the tool is used and studied in clinical and simulated contexts.
目的
关节穿刺术是多个专业医生的一项重要技能。近期研究表明，在针放置过程中使用超声引导进行该操作具有更高的安全性和操作表现，而提高医疗质量需要使用这种方式对操作能力进行有效测量。
方法
我们努力使用改良的德尔菲技术，并在美国多学科专家的参与下，创建一个经过验证的工具来评估该操作的表现。
结果
我们得出了一份包含22项的清单，旨在评估超声引导下关节穿刺术的操作能力，其克朗巴哈系数为0.89，表明内部一致性程度极佳。
结论
尽管我们能够证明该工具的内容效度，但在该工具在临床和模拟环境中使用和研究之后，应获取进一步的效度证据。
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