Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review

摘要: OBJECTIVE To develop generic criteria for the global assessment of clinical procedural competence and to quantify extent which existing checklists allow holistic competencies. METHODS We carried out a systematic review qualitative analysis published skills enumerated contents each. Source materials included all English-language papers from 1990 June 2005, identified 18 databases, described or referred an document any skill. A pair reviewers key themes sub-themes through in-depth subset 20 with iterative agreement independent retesting coding framework. The resulting framework was independently applied by pairs checking emergence new sub-themes. Main outcome measures were identification frequency occurrence each in checklists. RESULTS 7 ('Procedural competence', represented 85 [97%] checklists; 'Preparation', 65 [74%]; 'Safety', 45 [51%]; 'Communication working patient', 32 [36%]; 'Infection control', 28 [32%]; 'Post-procedural care', 24 [27%]; 'Team working', 13 [15%]) 37 sub-themes, encapsulated Of 2 after initial had been finalised. CONCLUSIONS It is possible skills. third half checklists, respectively, do not enable explicit competencies control' 'Safety'. Their may be inconsistent assessments use such