The Development of a Validated Checklist for Thoracentesis

Berg, Dale; Berg, Katherine; Riesenberg, Lee Ann; Weber, Danielle; King, Daniel; Mealey, Kathleen; Justice, Ellen; Geffe, Kevin; Tinkoff, Glen

doi:10.1177/1062860612459881

Cited by 32 publications

(22 citation statements)

References 17 publications

(19 reference statements)

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“…Five studies were identified [13, 16, 21-23]. All studies provided assessment tools for assessing competence in thoracentesis, though three of them focused on needle thoracentesis [13, 21, 22]. Two studies provided assessment tools for TPCT, but they used the Seldinger technique when inserting the catheter [16, 23].…”

Section: Methodsmentioning

confidence: 99%

“…We conducted a PubMed search on following keywords “simulation,” “thoracentesis,” “training,” “assessment tool,” “validation,” and “chest tube” including English language papers from the last 5 years. Five studies were identified [13, 16, 21-23]. All studies provided assessment tools for assessing competence in thoracentesis, though three of them focused on needle thoracentesis [13, 21, 22].…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies report that validation of educational assessments is critically important [18-20]. Assessment tools with evidence of validity exist for TPCT, however these tools use the Seldinger technique [13, 16, 21-23]. To the best of our knowledge, no tool has been validated for assessing TPCT using the trocar method [24].…”

Section: Introductionmentioning

confidence: 99%

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Ensuring Basic Competence in Thoracentesis

et al. 2019

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Background: Trocar pigtail catheter thoracentesis (TPCT) is a common procedure often performed by junior physicians. Simulation-based training may effectively train physicians in the procedure prior to performing it on patients. An assessment tool with solid validity evidence is necessary to ensure sufficient procedural competence. Objectives: Our study objectives were (1) to collect evidence of validity for a newly developed pigtail catheter assessment tool (Thoracentesis Assessment Tool [ThorAT]) developed for the evaluation of TPCT performance and (2) to establish a pass/fail score for summative assessment. Methods: We assessed the validity evidence for the ThorAT using the recommended framework for validity by Messick. Thirty-four participants completed two consecutive procedures and their performance was assessed by two blinded, independent raters using the ThorAT. We compared performance scores to test whether the assessment tool was able to discern between the two groups, and a pass/fail score was established. Results: The assessment tool was able to discriminate between the two groups in terms of competence level. Experienced physicians received significantly higher test scores than novices in both the first and second procedure. A pass/fail score of 25.2 points was established, resulting in 4 (17%) passing novices and 1 (9%) failing experienced participant in the first procedure. In the second procedure 9 (39%) novices passed and 2 (18%) experienced participants failed. Conclusions: This study provides a tool for summative assessment of competence in TPCT. Strong validity evidence was gathered from five sources of evidence. A simulation-based training program using the ThorAT could ensure competence before performing thoracentesis on patients.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Ensuring Basic Competence in Thoracentesis

et al. 2019

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“…A modified Delphi method, explained in more detail in a previous publication, 18 was used to develop the adult LP checklist. A preliminary 20-item LP checklist was developed by 2 of the authors (DB and KB) based on their experience with teaching and performing LP (Table 1).…”

Section: Checklist Development and Delphi Roundsmentioning

confidence: 99%

The Development of a Validated Checklist for Adult Lumbar Puncture

et al. 2012

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Lumbar puncture (LP) is known to result in complications. Procedure skills should be taught and evaluated more effectively to improve health care quality. Validated checklists are central to teaching and assessing procedural skills. The results of the first step of the validation of an adult LP checklist are described. A comprehensive literature review of articles published on LP did not yield a checklist validated by the Delphi method. A modified Delphi technique, involving a panel of 9 experts, was used to develop a 20-item LP checklist for teaching and assessing LP, the first step in the validation process. The internal consistency coefficient using Cronbach's α was 0.79. The authors used a modified Delphi method to develop a checklist for teaching and assessing LP. For this checklist to become further validated, it should be implemented and studied in the simulation and clinical environments.

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“…Two articles included a published checklist as mentioned in the introduction. 12,13 Checklist Development and Delphi Rounds A modified Delphi method, explained in more detail in a previous publication, 14 was used to develop the paracentesis checklist. A preliminary 23-item paracentesis checklist was developed by 2 of the authors (DB and KB) based on their experience with teaching and performing paracentesis (Table 1).…”

Section: Review Of the Literaturementioning

confidence: 99%

The Development of a Validated Checklist for Paracentesis

Riesenberg

Berg

et al. 2012

Am J Med Qual

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Paracentesis is an invasive procedure known to result in complications. Procedure skills should be taught and evaluated more effectively to improve health care quality. Validated checklists are central to teaching and assessing procedural skills. The results of the first step of the validation of a paracentesis checklist are described. A comprehensive literature review of articles published on paracentesis did not yield a validated checklist. A modified Delphi technique, involving a panel of 8 interdisciplinary, interinstitutional experts, was used to develop a paracentesis checklist. The internal consistency coefficient using Cronbach's α was .92. Developing the 24-item paracentesis checklist for teaching and assessing paracentesis is the first step in the validation process. For this checklist to become further validated, it should be implemented and studied in the simulation and clinical environments.

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The Development of a Validated Checklist for Thoracentesis

Cited by 32 publications

References 17 publications

Ensuring Basic Competence in Thoracentesis

Ensuring Basic Competence in Thoracentesis

The Development of a Validated Checklist for Adult Lumbar Puncture

The Development of a Validated Checklist for Paracentesis

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