Journal ArticleDOI
Assessment of Clinical Performance during Simulated Crises Using Both Technical and Behavioral Ratings
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The rating system needs more refinement before it can be used to assess clinical competence for residency graduation or board certification, and behavioral performance can be assessed from videotapes of simulations.Abstract:
BackgroundTechniques are needed to assess anesthesiologists' performance when responding to critical events. Patient simulators allow presentation of similar crisis situations to different clinicians. This study evaluated ratings of performance, and the interrater variability of the ratings, made byread more
Citations
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Journal ArticleDOI
The future vision of simulation in health care
TL;DR: Using simulation to improve safety will require full integration of its applications into the routine structures and practices of health care, including professional societies, liability insurers, health care payers, and ultimately the public.
Journal ArticleDOI
Error, stress, and teamwork in medicine and aviation: cross sectional surveys
TL;DR: Medical staff reported that error is important but difficult to discuss and not handled well in their hospital and barriers to discussing error are more important since medical staff seem to deny the effect of stress and fatigue on performance.
Journal ArticleDOI
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
TL;DR: This review examines current research on teamwork in highly dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams with a focus on aspects relevant to the quality and safety of patient care.
Journal ArticleDOI
Simulation Technology for Health Care Professional Skills Training and Assessment
S. Barry Issenberg,William C. McGaghie,Ian R. Hart,Joan W. Mayer,Joel M. Felner,Emil Petrusa,Robert A. Waugh,Donald D. Brown,Robert R. Safford,Ira H. Gessner,David Lee Gordon,Gordon A. Ewy +11 more
TL;DR: Some benefits of simulation technology include improvements in certain surgical technical skills, in cardiovascular examination skills, and in acquisition and retention of knowledge compared with traditional lectures.
Journal ArticleDOI
Anaesthetists’ Non‐Technical Skills (ANTS): evaluation of a behavioural marker system†
TL;DR: The findings of the evaluation indicated that the ANTS system has a satisfactory level of validity, reliability and usability in an experimental setting, provided users receive adequate training.
References
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Journal ArticleDOI
The measurement of observer agreement for categorical data
J. R. Landis,Gary G. Koch +1 more
TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
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The jackknife, the bootstrap, and other resampling plans
TL;DR: The Delta Method and the Influence Function Cross-Validation, Jackknife and Bootstrap Balanced Repeated Replication (half-sampling) Random Subsampling Nonparametric Confidence Intervals as mentioned in this paper.
Journal ArticleDOI
rwg: An assessment of within-group interrater agreement.
TL;DR: In this article, a new derivation of the within-group interrater reliability statistic (r wg ) is given that underscores the interpretation of r wg as a measure of agreement among judges' ratings of a single target.
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Bootstrapping: A Nonparametric Approach to Statistical Inference
TL;DR: In this paper, the authors present a formal justification for the use of the Bootstrap in statistical inference. But they do not discuss future limitations of the bootstrap and their application in the statistical verification of confidence intervals.
Journal ArticleDOI
Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error
TL;DR: This paper explored how group-and organizational-level factors affect errors in administering drugs to hospitalized patients and found that patient care groups in two hospitals showed systematic differences not just in the frequency of errors, but also in the likelihood that errors will be detected and learned from by group members.