Validation of a performance checklist for ultrasound-guided internal jugular central lines for use in procedural instruction and assessment

Hartman, Nicholas; Wittler, Mary; Askew, Kim; Hiestand, Brian; Manthey, David

doi:10.1136/postgradmedj-2015-133632

Cited by 24 publications

(22 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, these simulators lack objective performance criterion and instead rely on a trained preceptor (e.g. faculty) to be present in order to subjectively evaluate trainee performance using a proficiency checklist [4][5][6] which includes evaluation on mechanical (e.g. motion and accuracy) and procedural-based skills (e.g.…”

Section: Introductionmentioning

confidence: 99%

Looks can be deceiving: Gaze pattern differences between novices and experts during placement of central lines

Chen

Sonntag

Pepley

et al. 2019

The American Journal of Surgery

View full text Add to dashboard Cite

Background: The objective of this study was to determine whether gaze patterns could differentiate expertise during simulated ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) and if expert gazes were different between simulators of varying functional and structural fidelity. Methods: A 2017 study compared eye gaze patterns of expert surgeons (n=11), senior residents (n=4), and novices (n=7) during CVC needle insertions using the dynamic haptic robotic trainer (DHRT), a system which simulates US-IJCVC. Expert gaze patterns were also compared between a manikin and the DHRT. Results: Expert gaze patterns were consistent between the manikin and DHRT environments (p = 0.401). On the DHRT system, CVC experience significantly impacted the percent of time participants spent gazing at the ultrasound screen (p < 0.0005) and the needle and ultrasound probe (p < 0.0005). Conclusion: Gaze patterns differentiate expertise during ultrasound-guided CVC placement and the fidelity of the simulator does not impact gaze patterns.

show abstract

Section: Introductionmentioning

confidence: 99%

Looks can be deceiving: Gaze pattern differences between novices and experts during placement of central lines

Chen

Sonntag

Pepley

et al. 2019

The American Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Similar to prior years, the most common study populations were medical students (21/75; 28%) and residents (48/75; 64%) . Interestingly, this year only one study addressing medical students was highlighted for excellence, in contrast to prior years.…”

Section: Discussionmentioning

confidence: 92%

“…Similarly, curriculum evaluation studies that made up 38% of studies in 2013 dropped to 10% in 2015 and have again risen to 20% in 2016. Procedural teaching and learning remained fairly stable (8% of articles in 2016 and 12% in 2015). Interestingly, we saw a number of studies focus on the residency application process and subsequent effects and one of these was highlighted for excellence.…”

Section: Discussionmentioning

confidence: 97%

“…Three of these studies with an experimental design were highlighted . There was a decline in the number of observational studies (35/75; 47%), compared to 2015 (36/61; 59%), but an increase in the number of studies using survey methodology (19/75; 25%) in 2016 compared to 10 of 61, 16% in 2015, and 0% in 2014. It should be noted that all survey studies in this review drew data from participants from multiple institutions per the predetermined selection criteria.…”

Section: Discussionmentioning

confidence: 99%

“…Several prominent topics of study in 2016 were similar to 2015, including technology, simulation, and assessment . Although still a common topic, the frequency of assessment dropped off substantially from 66% of articles in 2015 to 29% in 2016.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Dubosh

Jordan

Yarris

et al. 2018

AEM Education and Training

View full text Add to dashboard Cite

Objectives: The objectives were to critically appraise the emergency medicine (EM) medical education literature published in 2016 and review the highest-quality quantitative and qualitative studies. Methods: A search of the English language literature in 2016 querying MEDLINE, Scopus, Education ResourcesInformation Center (ERIC), and PsychInfo identified 510 papers related to medical education in EM. Two reviewers independently screened all of the publications using previously established exclusion criteria. The 25 top-scoring quantitative studies based on methodology and all six qualitative studies were scored by all reviewers using selected scoring criteria that have been adapted from previous installments. The top-scoring articles were highlighted and trends in medical education research were described.

show abstract

Novel cricothyrotomy assessment tool for attending physicians: A multicenter study of an error avoidance checklist

Hock

Martin

Stanfield

et al. 2021

AEM Education and Training

View full text Add to dashboard Cite

Background This study used existing literature and expert feedback to develop and pilot a novel error‐avoidance checklist tool for cricothyrotomy in attending physicians. Prior literature has not focused on expert cricothyrotomy performance. While published checklists teach a specific procedural method, ideal for novice learners, this may hinder expert learners. Objectives We endeavored to create a succinct error‐avoidance checklist for cricothyrotomy. We hypothesized that such a checklist would prove feasible and acceptable to attending physicians. Methods This is a multicenter prospective checklist creation, evaluation, and feasibility study. Multiple experts pursued an iterative process to reach consensus on a 7‐item error‐avoidance checklist. The checklist was trialed for feasibility in pilot sessions at two sites by 45 attending emergency physicians who used the checklist for peer performance assessment and provided feedback. Results During the pilot implementation, 94% of respondents completed the procedure within the allotted 120 s. Greater than 85% of respondents agreed that four of the five procedural errors on the checklist were very or somewhat critical to avoid, including cutting >2 cm from midline, creating a false passage, failing to continuously maintain an object in the trachea, and injuring oneself during the procedure. Only 66% of participants felt severing the cricoid cartilage was critical. Successful breath administration and time under 120 s were critical for 100% and 95% of participants, respectively. The checklist was rated “easy” or “very easy” to use by 93% of participants, and 95% found this checklist reasonable for evaluating attending physicians. Conclusions We present the multicenter development and implementation of a novel error‐avoidance checklist tool for use in expert cricothyrotomy performance. Attending emergency medicine (EM) physicians rated our tool easy to use and agreed that most of the proposed errors were critical. Participants overwhelmingly agreed this tool would be reasonable for evaluation of cricothyrotomy performance among attending EM physicians.

show abstract

Validation of a performance checklist for ultrasound-guided internal jugular central lines for use in procedural instruction and assessment

Cited by 24 publications

References 10 publications

Looks can be deceiving: Gaze pattern differences between novices and experts during placement of central lines

Looks can be deceiving: Gaze pattern differences between novices and experts during placement of central lines

Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016

Novel cricothyrotomy assessment tool for attending physicians: A multicenter study of an error avoidance checklist

Contact Info

Product

Resources

About