编辑选择 - 开发和测试步骤,错误和事件框架,以评估外周内血管干预技术性能
Gilles Soenens1, Lauren Gorden2, Bart Doyen3
1Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium. Electronic address: https://www.twitter.com/GillesSoenens.
概括
开发了一个新的工具来评估外周内血管干预 (PVI) 中的步骤,错误和事件. 该框架提供了详细的反,以提高内血管专家的程序掌握.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心脏病学 心脏病学
- 血管学 血管学
背景情况:
- 基于能力的教育需要有效的工具来评估内血管功能.
- 外周内血管干预 (PVI) 需要精确的评估方法.
研究的目的:
- 开发和验证一个全面的分析工具,用于评估PVI中的程序步骤,错误和事件.
- 建立一个标准化的框架来评估内血管程序的性能.
主要方法:
- 一个经过修改的德尔菲共识,涉及血管外科,干预放射学,心脏学和血管学的国际专家.
- 循序渐进的调查轮和利克尔特等级,以达到专家一致 (>70%) 和可靠性 (克朗巴赫的α>0.7).
- 经验丰富的内血管外科医生将最终框架应用于10个视频录制的选择性PVI病例.
主要成果:
- 成立了一个由28名专家组成的共识小组 (29%来自北美,71%来自欧洲).
- 完成的框架包括15个步骤,26个错误和18个具有高专家一致意见的事件.
- 对10个PVI病例的分析发现,每个病例中均有55个步骤,27个错误和2个事件.
结论:
- 成功开发了一种可验证的工具,用于评估腹-腹-腹内血管手术中的步骤,错误和事件.
- 该工具应用于记录的数据,可以识别危险的步骤,常见的错误和重大事件.
- 这个框架提供了详细的技术性能反,以促进内血管专家的程序掌握.
相关概念视频
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01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
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01:27Peripheral Artery Disease III: Interprofessional Care
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