Delphi Method Validation of a Procedural Performance Checklist for Insertion of an Ultrasound-Guided Internal Jugular Central Line

Abstract

Placement of ultrasound-guided central lines is a critical skill for physicians in several specialties. Improving the quality of care delivered surrounding this procedure demands rigorous measurement of competency, and validated tools to assess performance are essential. Using the iterative, modified Delphi technique and experts in multiple disciplines across the United States, the study team created a 30-item checklist designed to assess competency in the placement of ultrasound-guided internal jugular central lines. Cronbach α was .94, indicating an excellent degree of internal consistency. Further validation of this checklist will require its implementation in simulated and clinical environments.

Keywords

central venous catheter Delphi method procedural checklist ultrasound-guided procedure

Get full access to this article

View all access options for this article.

References

Tung

. Best practices for central line insertion. Int Anesthesiol Clin. 2013;51(1):62-78.

McGee

Gould

. Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123-1133.

Beeson

Carter

Christopher

. Emergency medicine milestones. J Grad Med Educ. 2013;5(1 suppl 1):5-13.

American College of Emergency Physicians. Policy statement: emergency ultrasound guidelines. http://www.acep.org/Clinical—Practice-Management/Ultrasound/. Published 2008. Accessed June 21, 2014.

Pronovost

Needham

Berenholtz

. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732.

Berg

Riesenberg

Berg

. The development of a validated checklist for adult lumbar puncture: preliminary results. Am J Med Qual. 2013;28:330-334.

Huang

Newman

Schwartzstein

. Procedural competence in internal medicine residents: validity of a central venous catheter insertion assessment instrument. Acad Med. 2009;84:1127-1134.

American Society of Anesthesiologists Task Force on Central Venous Access. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology. 2012;116:539-573.

Harris

Taylor

Thielke

Payne

Gonzalez

Conde

. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377-381.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.01 MB