视频喉科视频分类输管 (VCI) 评分:一个多中心的国际可行性研究
Charlotte Halliday1, Michael Berry2, Sneh V Shah3
1Department of Anaesthesia, Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK; Department of Adult Intensive Care, Guy's and St Thomas' NHS Foundation Trust, London, UK.
British journal of anaesthesia
|December 12, 2025
概括
输入管的视频分类 (VCI) 评分显示了通过视频喉科镜来记录气管输入管的高可靠性. 这种标准化的沟通工具可以在各种环境中提高患者安全和护理质量.
科学领域:
- 麻醉学和重症监护医学
- 医疗器械技术 医疗器械技术
- 患者安全研究 患者安全研究
背景情况:
- 视频鼻镜辅助气管管道输入缺乏标准化的沟通方法.
- 需要可靠的工具来评估和记录各种临床环境中的输管质量.
研究的目的:
- 评估配对,同时进行的输入管视频分类 (VCI) 评分的评估者间可靠性.
- 评估VCI得分在各种临床环境和患者群体中的一致性.
主要方法:
- 国际多中心研究涉及独立的VCI评分记录由输入管和观察员.
- 从四个国家的18个机构收集了41个月的数据.
- 分析了1644个配对的VCI分数,使用Krippendorff的α和百分比协议.
主要成果:
- 复合VCI评分的高间评分可靠性,克里多夫α为0.858.8.
- 在复合VCI得分上,输入管-观察者对之间的百分比一致率为89.1%.
- 在不同的临床环境和员工经验水平中证明了可靠性.
结论:
- 视频喉科镜辅助气管输管术期间,VCI评分是标准化沟通的可靠工具.
- 高级互评分器可靠性支持其在各种医疗保健专业人员中使用.
- 实施VCI评分可以提高患者的安全性和护理质量.
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