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  • Validation of a performance checklist for ultrasound-guided internal jugular central lines for use in procedural instruction and assessment

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Original article
Validation of a performance checklist for ultrasound-guided internal jugular central lines for use in procedural instruction and assessment
  1. Nicholas Hartman,
  2. Mary Wittler,
  3. Kim Askew,
  4. Brian Hiestand,
  5. David Manthey
  1. Department of Emergency Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA
  1. Correspondence to Dr Nicholas Hartman, Department of Emergency Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA; nhartman{at}wakehealth.edu

Abstract

Purpose of the study Tools created to measure procedural competency must be tested in their intended environment against an established standard in order to be validated. We previously created a checklist for ultrasound-guided internal jugular central venous catheter (US IJ CVC) insertion using the modified Delphi method. We sought to further validate the checklist tool for use in an educational environment.

Study design This is a cohort study involving 15 emergency medicine interns being evaluated on their skill in US IJ CVC placement. We compared the checklist tool with a modified version of a clinically validated global rating scale (GRS) for procedural performance.

Results The correlation between the GRS tool and the checklist tool was excellent, with a correlation coefficient (Pearson's r) of 0.90 (p<0.0001).

Conclusions This checklist represents a useful tool for measuring procedural competency.

  • ACCIDENT & EMERGENCY MEDICINE
  • MEDICAL EDUCATION & TRAINING

http://dx.doi.org/10.1136/postgradmedj-2015-133632

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    Footnotes

    • Contributors All authors contributed substantially to research design. NH, KA, MW and DM all participated in data collection. BH led statistical design and data analysis. NH led the drafting of the manuscript, and all authors participated in editing the manuscript, had final approval over the text and take responsibility for the content.

    • Competing interests None declared.

    • Ethics approval Wake Forest University Health Sciences Institutional Review Board approved this study.

    • Provenance and peer review Not commissioned; externally peer reviewed.