Reliability of a procedural checklist as a high-stakes measurement of advanced technical skill.
作者： Sarah E. Peyré , Christian G. Peyré , Jeffrey A. Hagen , Maura E. Sullivan
DOI: 10.1016/J.AMJSURG.2009.10.003
关键词: Fleiss' kappa 、 Kappa 、 Surgery 、 Medicine 、 Advanced stage 、 Technical skills 、 Physical therapy 、 Reliability (statistics) 、 Nissen fundoplication 、 Clinical competence 、 Checklist
摘要: Abstract Background The purpose of this study was to determine the reliability a previously validated laparoscopic Nissen fundoplication procedural checklist as measurement advanced technical skill. Methods Five surgeons, using 65-step checklist, independently evaluated 2 video recordings expert surgeon operative performances fundoplication. Results were analyzed for percent agreement and Fleiss kappa correlation each operation combined whole. Sixty-four 65 steps had 80% or higher both case A B when considered overall. coefficients (kappa = .95) .96) overall (operative + B) .95). Conclusion percentage all 3 analyses indicate high degree (>.80) that would support use instrument high-stakes assessment
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