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Developing a tool to assess competence in resuscitative endovascular balloon occlusion of the aorta: An international Delphi consensus study
- Source :
- Journal of Trauma and Acute Care Surgery. 91:310-317
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure that is potentially lifesaving in major noncompressible torso hemorrhage. It may also improve outcome in nontraumatic cardiac arrest. However, the procedure can be technically challenging and requires the immediate presence of a qualified operator. Thus, evidence-based training and assessment of operator skills are essential for successful implementation and patient safety. A prerequisite for this is a valid and reliable assessment tool specific for the procedure. The aim of this study was to develop a tool for assessing procedural competence in REBOA based on best-available knowledge from international experts in the field. Methods We invited international REBOA experts from multiple specialties to participate in an anonymous three-round iterative Delphi study to reach consensus on the design and content of an assessment tool. In round 1, participants suggested items to be included. In rounds 2 and 3, the relevance of each suggested item was evaluated by all participants to reach consensus. Interround data processing was done systematically by a steering group. Results Forty panelists representing both clinical and educational expertise in REBOA from 16 countries (in Europe, Asia, and North and South America) and seven different specialties participated in the study. After 3 Delphi rounds and 532 initial item suggestions, the panelists reached consensus on a 10-item assessment tool with behaviorally anchored rating scales. It includes assessment of teamwork, procedure time, selection and preparation of equipment, puncture technique, guidewire handling, sheath handling, placement of REBOA catheter, occlusion, and evaluation. Conclusion We present the REBOA-RATE assessment tool developed systematically by international experts in the field to optimize content validity. Following further studies of its validity and reliability, this tool represents an important next step in evidence-based training programs in REBOA, for example, using mastery learning. Level of evidence Therapeutic, level V.
- Subjects :
- Consensus
Internationality
Delphi Technique
Resuscitation
Delphi method
Validity
Hemorrhage
Critical Care and Intensive Care Medicine
Patient safety
Content validity
medicine
Humans
Simulation Training
Competence (human resources)
Aorta
business.industry
Behaviorally anchored rating scales
Endovascular Procedures
Torso
Evidence-based medicine
Balloon Occlusion
medicine.disease
Emergency procedure
Surgery
Clinical Competence
Medical emergency
Emergencies
business
Subjects
Details
- ISSN :
- 21630763 and 21630755
- Volume :
- 91
- Database :
- OpenAIRE
- Journal :
- Journal of Trauma and Acute Care Surgery
- Accession number :
- edsair.doi.dedup.....3ccd4d80c100234a5816d1d84fd37cec