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Reliability of the assessment of non-technical skills by using video-recorded trauma resuscitations.

Authors :
van Maarseveen OEC
Ham WHW
Huijsmans RLN
Dolmans RGF
Leenen LPH
Source :
European journal of trauma and emergency surgery : official publication of the European Trauma Society [Eur J Trauma Emerg Surg] 2022 Feb; Vol. 48 (1), pp. 441-447. Date of Electronic Publication: 2020 Jul 02.
Publication Year :
2022

Abstract

Purpose: Non-technical skills have gained attention, since enhancement of these skills is presumed to improve the process of trauma resuscitation. However, the reliability of assessing non-technical skills is underexposed, especially when using video analysis. Therefore, our primary aim was to assess the reliability of the Trauma Non-Technical Skills (T-NOTECHS) tool by video analysis. Secondarily, we investigated to what extent reliability increased when the T-NOTECHS was assessed by three assessors [average intra-class correlation (ICC)] instead of one (individual ICC).<br />Methods: As calculated by a pre-study power analysis, 18 videos were reviewed by three research assistants using the T-NOTECHS tool. Average and individual degree of agreement of the assessors was calculated using a two-way mixed model ICC.<br />Results: Average ICC was 'excellent' for the overall score and all five domains. Individual ICC was classified as 'excellent' for the overall score. Of the five domains, only one was classified as 'excellent', two as 'good' and two were even only 'fair'.<br />Conclusions: Assessment of non-technical skills using the T-NOTECHS is reliable using video analysis and has an excellent reliability for the overall T-NOTECHS score. Assessment by three raters further improve the reliability, resulting in an excellent reliability for all individual domains.<br /> (© 2020. The Author(s).)

Details

Language :
English
ISSN :
1863-9941
Volume :
48
Issue :
1
Database :
MEDLINE
Journal :
European journal of trauma and emergency surgery : official publication of the European Trauma Society
Publication Type :
Academic Journal
Accession number :
32617607
Full Text :
https://doi.org/10.1007/s00068-020-01401-5