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Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients.

Publication ,  Journal Article
Fleming, GM; Mink, RB; Hornik, C; Emke, AR; Green, ML; Mason, K; Petrillo, T; Schuette, J; Tcharmtchi, MH; Winkler, M; Turner, DA
Published in: J Grad Med Educ
July 2016

BACKGROUND: Pediatric critical care medicine requires the acquisition of procedural skills, but to date no criteria exist for assessing trainee competence in central venous catheter (CVC) insertion. OBJECTIVE: The goal of this study was to create and demonstrate validity evidence for a direct observation tool for assessing CVC insertion. METHODS: Ten experts used the modified Delphi technique to create a 15-item direct observation tool to assess 5 scripted and filmed simulated scenarios of CVC placement. The scenarios were hosted on a dedicated website from March to May 2013, and respondents recruited by e-mail completed the observation tool in real time while watching the scenarios. The goal was to obtain 50 respondents and a total of 250 scenario ratings. RESULTS: A total of 49 pediatrics intensive care faculty physicians (6.3% of 780 potential subjects) responded and generated 188 scenario observations. Of these, 150 (79.8%) were recorded from participants who scored 4 or more on the 5 scenarios. The tool correctly identified the expected reference standard in 96.8% of assessments with an interrater agreement kappa (standard error) = 0.94 (0.07) and receiver operating characteristic = 0.97 (95% CI 0.94-0.99). CONCLUSIONS: This direct observation assessment tool for central venous catheterization demonstrates excellent performance in identifying the reference standard with a high degree of interrater reliability. These assessments support a validity construct for a pediatric critical care medicine faculty member to assess a provider placing a CVC in a pediatrics patient.

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Published In

J Grad Med Educ

DOI

EISSN

1949-8357

Publication Date

July 2016

Volume

8

Issue

3

Start / End Page

346 / 352

Location

United States

Related Subject Headings

  • Video Recording
  • Reproducibility of Results
  • Pediatrics
  • Infant
  • Humans
  • Educational Measurement
  • Delphi Technique
  • Critical Care
  • Clinical Competence
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
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Fleming, G. M., Mink, R. B., Hornik, C., Emke, A. R., Green, M. L., Mason, K., … Turner, D. A. (2016). Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients. J Grad Med Educ, 8(3), 346–352. https://doi.org/10.4300/JGME-D-15-00365.1
Fleming, Geoffrey M., Richard B. Mink, Christoph Hornik, Amanda R. Emke, Michael L. Green, Katherine Mason, Toni Petrillo, et al. “Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients.J Grad Med Educ 8, no. 3 (July 2016): 346–52. https://doi.org/10.4300/JGME-D-15-00365.1.
Fleming GM, Mink RB, Hornik C, Emke AR, Green ML, Mason K, et al. Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients. J Grad Med Educ. 2016 Jul;8(3):346–52.
Fleming, Geoffrey M., et al. “Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients.J Grad Med Educ, vol. 8, no. 3, July 2016, pp. 346–52. Pubmed, doi:10.4300/JGME-D-15-00365.1.
Fleming GM, Mink RB, Hornik C, Emke AR, Green ML, Mason K, Petrillo T, Schuette J, Tcharmtchi MH, Winkler M, Turner DA. Developing a Tool to Assess Placement of Central Venous Catheters in Pediatrics Patients. J Grad Med Educ. 2016 Jul;8(3):346–352.

Published In

J Grad Med Educ

DOI

EISSN

1949-8357

Publication Date

July 2016

Volume

8

Issue

3

Start / End Page

346 / 352

Location

United States

Related Subject Headings

  • Video Recording
  • Reproducibility of Results
  • Pediatrics
  • Infant
  • Humans
  • Educational Measurement
  • Delphi Technique
  • Critical Care
  • Clinical Competence
  • Child, Preschool