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

详细信息    查看全文

• 作者：Nabeel A.  ; Arain M.D. ; M.B.A.^a ; Deborah C.  ; Hogg B.S.^a ; Rajiv B.  ; Gala M.D.^b ; Ravi  ; Bhoja M.D.^c ; Seifu T.  ; Tesfay R.N. ; M.S.^a ; Erin M.  ; Webb B.S.^a ; Daniel J.  ; Scott M.D.^a ;   ; ^{Daniel.Scott@UTSouthwestern.edu}
• 关键词：Team training ; Laparoscopic troubleshooting ; Communication ; Patient safety ; Virtual operating room (VOR) ; Simulation ; Crew resource management (CRM)
• 刊名：The American Journal of Surgery
• 出版年：2012
• 出版时间：January 2012
• 年：2012
• 卷：203
• 期：1
• 页码：54-62
• 全文大小：1419 K

文摘

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¨CTask 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.