Journal article
Design and validation of the Regional Anaesthesia Procedural Skills Assessment Tool
A Chuan, PL Graham, DM Wong, MJ Barrington, DB Auyong, AJD Cameron, YC Lim, L Pope, B Germanoska, K Forrest, CF Royse
Anaesthesia | WILEY | Published : 2015
DOI: 10.1111/anae.13266
Abstract
The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test-retest methodology was successful (Cohen kappa ≥ 0.70 for inter-rater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical vi..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
The authors thank our colleagues for their expert assistance in this study: Drs Peter Hebbard, Graham Hocking, Chris Mitchell, David M. Scott, and Paul Soeding for the construction phase of the RAPS checklist; Drs Malcolm Albany, Harmeet Aneja, Tung Bui, Phil Cowlishaw, Michael Ehrlich, Clement Fong, Andrew Lansdown, Daniel McGlone, Minh T. Tran, and Chris K.B. Wong as the regional anaesthesia experts involved with the test-retest initial validation phase. The authors would also like to thank the consultants, trainees andnursing staff of the Department of Anaesthesia, Liverpool Hospital, Sydney, and Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital, Melbourne, for their participation in the clinical videos. AC received financial support from the National Health and Medical Research Council (APP1056280) and the Australian Society of Anaesthetists (PhD Support Grant) to assist this work. No conflicts of interest declared.