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Modeling and Similitude01:12

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A Modeling and Simulation Method for Preliminary Design of an Electro-Variable Displacement Pump
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Simulation performance checklist generation using the Delphi technique.

Pamela J Morgan1, Jenny Lam-McCulloch, Jodi Herold-McIlroy

  • 1Department of Anesthesia, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada. pam.morgan@utoronto.ca

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|December 7, 2007
PubMed
Summary
This summary is machine-generated.

This study developed reliable performance checklists for anesthesiologists using a modified Delphi technique. The validated tools demonstrated high inter-rater reliability for simulation scenarios.

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Area of Science:

  • Medical Simulation
  • Anesthesiology
  • Educational Assessment

Background:

  • High-fidelity simulation is crucial for performance assessment in anesthesiology.
  • Developing valid and reliable evaluation tools for simulation remains a challenge.
  • The Delphi technique offers a consensus-based approach for content generation.

Purpose of the Study:

  • To develop performance evaluation checklists for anesthesiologists using a modified Delphi technique.
  • To assess the reliability and validity of checklists for simulated anesthesia scenarios.
  • To create standardized tools for competency assessment in anesthesiology.

Main Methods:

  • A modified Delphi technique involved iterative feedback from anesthesiologists to generate checklist items.
  • Checklist items with low consensus (<=20% endorsement) were deleted.
  • Inter-rater reliability was calculated using intraclass correlation (ICC).
  • Analysis of Variance (ANOVA) assessed scenario difficulty differences.

Main Results:

  • Final checklists comprised 131 items for scenario 1 and 126 items for scenario 2.
  • High mean inter-rater reliability was achieved (0.921 for scenario 1, 0.903 for scenario 2).
  • No significant difference in difficulty was found between the two simulated scenarios.

Conclusions:

  • The Delphi technique effectively generates consensus-based evaluation tools with high validity.
  • The developed checklists provide reliable measures for performance assessment in anesthesiology simulation.
  • The validated scenarios are suitable for evaluating educational interventions.