Using a structured assessment of technical skills checklist for surgical management of postpartum hemorrhage
Journal Title: INNOVATIVE JOURNAL OF MEDICAL AND HEALTH SCIENCE - Year 2019, Vol 9, Issue 4
Abstract
BACKGROUND: Maternal hemorrhage during cesarean sections can often beidentified and managed surgically with use of the B-Lynch compression suture, andO’Leary (bilateral uterine artery ligation) stitch. Residents may improve their performanceof these procedures using a technical skills checklist with global rating scale.OBJECTIVE: To assess the reliability and validity of a technical skills checklist forthe B-Lynch Suture and O’Leary Stitch using a surgical model.METHODS: Two blinded evaluators reviewed the recordings of 52 obstetrics/gynecology residents and 25 attending physicians performing the simulated BLynchand O’Leary Stitch using a felt uterus model from March 1 2017 to August 31,2017. The evaluators completed task-specific OSATS and global rating scales (GRS)for the two simulations. Interrater reliability and construct validity were assessed.RESULTS: Interrater reliability was 97% for task-specific OSATS (task specificchecklist, TSC) and exceeded 98% for GRS. For construct validity regarding B-Lynchsimulation, attending physicians and senior residents scored higher than junior andnew residents; TSC (15.04 and 15.12, respectively vs. 5.63 and 3.38); GRS B-Lynch(22.38 and 19.35, respectively vs. 8.85 and 6.75. For the O’ Leary simulation, seniorresidents and attending physicians scored higher than junior and new resident on TSC(15.20 and 13.65, respectively, vs. 11.54 and 2.83). Similar findings noted for O’LearyGRS (23.76 and 21.32 vs. 14.89 and 6.83).CONCLUSION: There was good interrater reliability and construct validity using atask-specific OSATS for B-Lynch and O’Leary Stitch. This instrument shows promiseas a tool for competency-based evaluations.Key words: Assessment of skills for postpartum hemorrhage
Authors and Affiliations
Meleen Chuang*,Melissa Fazzari, Heather Smith,Julie Kaplan, Erika Banks
Keywords
Related Articles
- EP ID EP558937
- DOI 10.15520/ijmhs.v9i4.2535
- Views 68
- Downloads 0
Generation of multiple copies of complete organism from single drop of blood during the war of Maa Kali and Raktabija and role of DNA as Panchbhutas
The most interesting fact about cloning is that research regarding cloning was already performed thousands and thousands of years back in the era when there were no scientific instruments available but still the science...
RESEARCH ON INNOVATIVE PRACTICE OF GRASSROOTS SOCIAL GOVERNANCE
In the context of China's economy stepping into the “New Normal”, the problems concerning awareness, system and methods can be found in today's grassroots social governance, no matter in the subjects to govern or the obj...
Molecular description of alpha-hemolysin producing Escherichia coli isolates from extraintestinal source
Context:Alpha-hemolysin (Hly) is a common exotoxin produced by Escherichia coli, which plays an important role as a virulence factor in a number of clinical infections. There exist other virulence propertie...
Hypocholestorolemic effects of probiotic yoghurts
Cardiovascular disease is one of the most important reasons of death in the world and high levels of cholesterol is concerned as an essential risk factor for cardiovascular disease, thus a decrease in serum cholesterol l...
Overview of Thyroid Status of Patients Seeking Care in Asokoro District HospitalAbuja.
The thyroid gland which is a butterfly shaped endocrine gland situated on the front of the neck is involve in the regulation and production of hormones such as triiodothyronine (T...