群众来源和专家视频评估在最小侵入性食道切除术中
Mirte H M Ketel1, Bastiaan R Klarenbeek2, Yassin Eddahchouri2
1Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. mirte.ketel@radboudumc.nl.
Surgical endoscopy
|August 21, 2023
概括
评估使用非程序特定工具 (如GOALS) 的微创食道切除术 (MIE) 手术性能,与群众工人缺乏有效性. 然而,专家GOALS对MIE视频片段的评估显示,对高效的外科手术绩效评估有希望.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 外科手术绩效评估的使用方法
背景情况:
- 使用能力评估工具 (CAT) 进行基于视频的评估可以测量外科手术的性能.
- 对于最小侵入性食道切除术 (MIE-CAT) 存在一个经过验证的CAT.
- 外科医生的时间有限,视频评估是劳动密集型的,需要高效的评估方法.
研究的目的:
- 调查专家对MIE视频片段进行非程序特定评估的有用性和众包.
- 为了确定群众资源和专家评估是否使用拉皮镜技能全球操作评估 (GOALS) 可以协助程序特定的专家审查.
主要方法:
- 两个评分框架,GOALS和MIE-CAT,用于评估MIE视频.
- MIE专家和30多名群众工作者使用GOALS评估了短视频剪辑.
- 此外,MIE专家还使用MIE-CAT对全长视频进行了评估.
主要成果:
- 群众工作者对GOALS的评估显示出可靠性较差,缺乏趋同有效性.
- 专家的GOALS评估也未能确定收的有效性.
- 专家的GOALS和MIE-CAT得分有很强的相关性 (r=0.40到0.79),这表明评估时间可能更短.
结论:
- 使用GOALS进行众包MIE评估是不可靠的,缺乏有效性.
- 目标可能不足以全面地进行详细的MIE绩效评估.
- 使用GOALS对MIE视频片段的专家评估可能是减少评估时间的可行方法.
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