Construct and face validity of the American College of Surgeons/Association of Program Directors in Surgery laparoscopic troubleshooting team training exercise

被引:13
作者
Arain, Nabeel A. [1 ]
Hogg, Deborah C. [1 ]
Gala, Rajiv B. [2 ]
Bhoja, Ravi [3 ]
Tesfay, Seifu T. [1 ]
Webb, Erin M. [1 ]
Scott, Daniel J. [1 ]
机构
[1] Univ Texas SW Med Ctr Dallas, Dept Surg, Dallas, TX 75390 USA
[2] Univ Texas SW Med Ctr Dallas, Dept Gynecol, Dallas, TX 75390 USA
[3] Univ Texas SW Med Ctr Dallas, Dept Anesthesiol, SW Ctr Minimally Invas Surg, Dallas, TX 75390 USA
关键词
Team training; Laparoscopic troubleshooting; Communication; Patient safety; Virtual operating room (VOR); Simulation; Crew resource management (CRM); OPERATING-ROOM; QUALITY MEASURES; SKILLS; VALIDATION; CRISIS;
D O I
10.1016/j.amjsurg.2011.08.010
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: Our aim was to develop an objective scoring system and evaluate construct and face validity for a laparoscopic troubleshooting team training exercise. METHODS: Surgery and gynecology novices (n = 14) and experts (n = 10) participated. Assessments included the following: time-out, scenario decision making (SDM) score (based on essential treatments rendered and completion time), operating room communication assessment (investigator developed), line operations safety audits (teamwork), and National Aeronautics and Space Administration-Task Load Index (workload). RESULTS: Significant differences were detected for SDM scores for scenarios 1 (192 vs 278; P = .01) and 3 (129 vs 225; P = .004), operating room communication assessment (67 vs 91; P = .002), and line operations safety audits (58 vs 87; P = .001), but not for time-out (46 vs 51) or scenario 2 SDM score (301 vs 322). Workload was similar for both groups and face validity (8.8 on a 10-point scale) was strongly supported. CONCLUSIONS: Objective decision-making scoring for 2 of 3 scenarios and communication and teamwork ratings showed construct validity. Face validity and participant feedback were excellent. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:54 / 62
页数:9
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