Evaluation of validity and reliability of video analysis and live observations to assess trauma team performance

Autor: Oscar E. C. van Maarseveen, Wietske H. W. Ham, Stijn van Cruchten, Rauand Duhoky, Luke P. H. Leenen
Rok vydání: 2022
Předmět:
Zdroj: European Journal of Trauma and Emergency Surgery. 48:4797-4803
ISSN: 1863-9941
1863-9933
Popis: Introduction A trauma resuscitation is dynamic and complex process in which failures could lead to serious adverse events. In several trauma centers, evaluation of trauma resuscitation is part of a hospital’s quality assessment program. While video analysis is commonly used, some hospitals use live observations, mainly due to ethical and medicolegal concerns. The aim of this study was to compare the validity and reliability of video analysis and live observations to evaluate trauma resuscitations. Methods In this prospective observational study, validity was assessed by comparing the observed adherence to 28 advanced trauma life support (ATLS) guideline related tasks by video analysis to life observations. Interobserver reliability was assessed by calculating the intra class coefficient of observed ATLS related tasks by live observations and video analysis. Results Eleven simulated and thirteen real-life resuscitations were assessed. Overall, the percentage of observed ATLS related tasks performed during simulated resuscitations was 10.4% (P p Conclusion Video analysis of trauma resuscitations may be more valid and reliable compared to evaluation by live observers. These outcomes may guide the debate to justify video review instead of live observations.
Databáze: OpenAIRE
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