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采用改良德尔菲法制定超声引导下股动脉置管操作性能检查表。

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

作者信息

Baez Jessica, Powell Elizabeth, Leo Megan, Stolz Uwe, Stolz Lori

机构信息

Department of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA.

Department of Anesthesiology, University of Cincinnati Medical Center, Cincinnati, OH, USA.

出版信息

J Vasc Access. 2020 Sep;21(5):715-722. doi: 10.1177/1129729820904872. Epub 2020 Feb 7.

DOI:10.1177/1129729820904872
PMID:32033520
Abstract

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.

摘要

背景

许多专业利用操作流程检查表来辅助培训住院医师和其他学习者。操作流程检查表可确保每次都以特定方式执行所需操作的关键步骤。需要有效的能力评估方法来评估学习者并确保护理质量标准。本研究的目的是采用改良德尔菲法制定一份在超声引导下股动脉穿刺置管过程中使用的操作流程检查表。

方法

向来自三个急症护理专业的14名专家提供了一份包含27项的操作流程检查表。采用改良德尔菲法,根据专家反馈对检查表进行了一系列修改。

结果

该研究进行了三轮,最终形成了一份包含23项的检查表。检查表上的每个项目在纳入最终检查表时都获得了至少70%的专家认可。

结论

采用改良德尔菲法创建了一份用于超声引导下股动脉穿刺置管的操作流程检查表。这是一种客观工具,可协助在各种临床和教育环境中进行操作培训和能力评估。

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