验证了一款用于评估儿科气管切除术紧急模拟的新型移动应用程序
Marc-Mina Tawfik1, Elliot Schiff1, Roxanna Mosavian1
1Albert Einstein College of Medicine Bronx New York USA.
OTO open
|July 8, 2024
概括
一个新的移动应用程序准确可靠地评估儿科气管切除术紧急模拟. 该工具有助于实时数据捕获,以提高患者安全和临床护理质量.
科学领域:
- 医疗模拟 医疗模拟
- 患者安全 患者安全
- 儿科重症监护 儿科重症监护
背景情况:
- 儿科气管切除术存在重大风险,临床医生的专业知识变化会影响护理质量.
- 在现场模拟有效地识别安全威胁,但传统的视频审查是无效的.
- 开发了一款新的移动应用程序,以解决评估气管切除术紧急情况的这些局限性.
研究的目的:
- 评估一个新的移动应用程序的准确性和可靠性,以评估现场气管切除术紧急模拟.
- 确定应用程序是否可以在模拟过程中提供关键步骤的精确实时数据.
主要方法:
- 六名评级人员在移动应用程序上接受了1.25小时的培训.
- 评级人员评估了10个气管切除术紧急模拟视频,重点关注了12个关键步骤及其时间.
- 准确性与参考标准相比测量,并使用统计措施评估评价者之间的可靠性.
主要成果:
- 评级人员与步骤发生和时间的参考标准达成了86.0%的协议.
- 当仅考虑步骤发生时,协议增加到92.8%.
- 对于阶段发生 (Fleiss' kappa = 0.81) 和时间 (ICC = 0.99) 均观察到近乎完美的间隔值可靠性.
结论:
- 移动应用程序使得评定人员能够准确,可靠地评估气管切除术应急模拟,而评定人员所需的培训最低限度.
- 该工具可以识别临床实践和模拟协议的改进领域.
- 该应用程序显示承诺作为一个有效的工具,用于实时数据捕获在时间关键的模拟.
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