Development and Testing of Step, Error, and Event Frameworks to Evaluate Technical Performance in Peripheral Endovascular Interventions
Crown Copyright © 2024. Published by Elsevier B.V. All rights reserved..
OBJECTIVE: Tools for endovascular performance assessment are necessary in competency based education. This study aimed to develop and test a detailed analysis tool to assess steps, errors, and events in peripheral endovascular interventions (PVI).
METHODS: A modified Delphi consensus was used to identify steps, errors, and events in iliac-femoral-popliteal endovascular interventions. International experts in vascular surgery, interventional radiology, cardiology, and angiology were identified, based on their scientific track record. In an initial open ended survey round, experts volunteered a comprehensive list of steps, errors, and events. The items were then rated on a five point Likert scale until consensus was reached with a pre-defined threshold (Cronbach's alpha > 0.7) and > 70% expert agreement. An experienced endovascular surgeon applied the finalised frameworks on 10 previously videorecorded elective PVI cases.
RESULTS: The expert consensus panel was formed by 28 of 98 invited proceduralists, consisting of three angiologists, seven interventional radiologists, five cardiologists, and 13 vascular surgeons, with 29% from North America and 71% from Europe. The Delphi process was completed after three rounds (Cronbach's alpha; αsteps = 0.79; αerrors = 0.90; αevents = 0.90), with 15, 26, and 18 items included in the final step (73 - 100% agreement), error (73 - 100% agreement), and event (73 - 100% agreement) frameworks, respectively. The median rating time per case was 4.3 hours (interquartile range [IQR] 3.2, 5 hours). A median of 55 steps (IQR 40, 67), 27 errors (IQR 21, 49), and two events (IQR 1, 6) were identified per case.
CONCLUSION: An evaluation tool for the procedural steps, errors, and events in iliac-femoral-popliteal endovascular procedures was developed through a modified Delphi consensus and applied to recorded intra-operative data to identify hazardous steps, common errors, and events. Procedural mastery may be promoted by using the frameworks to provide endovascular proceduralists with detailed technical performance feedback.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery - (2024) vom: 15. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Soenens, Gilles [VerfasserIn] |
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| Links: |
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| Themen: |
Angioplasty balloon |
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| Anmerkungen: |
Date Revised 18.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.ejvs.2024.03.007 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369823133 |
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| 100 | 1 | |a Soenens, Gilles |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Development and Testing of Step, Error, and Event Frameworks to Evaluate Technical Performance in Peripheral Endovascular Interventions |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 18.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Crown Copyright © 2024. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: Tools for endovascular performance assessment are necessary in competency based education. This study aimed to develop and test a detailed analysis tool to assess steps, errors, and events in peripheral endovascular interventions (PVI) | ||
| 520 | |a METHODS: A modified Delphi consensus was used to identify steps, errors, and events in iliac-femoral-popliteal endovascular interventions. International experts in vascular surgery, interventional radiology, cardiology, and angiology were identified, based on their scientific track record. In an initial open ended survey round, experts volunteered a comprehensive list of steps, errors, and events. The items were then rated on a five point Likert scale until consensus was reached with a pre-defined threshold (Cronbach's alpha > 0.7) and > 70% expert agreement. An experienced endovascular surgeon applied the finalised frameworks on 10 previously videorecorded elective PVI cases | ||
| 520 | |a RESULTS: The expert consensus panel was formed by 28 of 98 invited proceduralists, consisting of three angiologists, seven interventional radiologists, five cardiologists, and 13 vascular surgeons, with 29% from North America and 71% from Europe. The Delphi process was completed after three rounds (Cronbach's alpha; αsteps = 0.79; αerrors = 0.90; αevents = 0.90), with 15, 26, and 18 items included in the final step (73 - 100% agreement), error (73 - 100% agreement), and event (73 - 100% agreement) frameworks, respectively. The median rating time per case was 4.3 hours (interquartile range [IQR] 3.2, 5 hours). A median of 55 steps (IQR 40, 67), 27 errors (IQR 21, 49), and two events (IQR 1, 6) were identified per case | ||
| 520 | |a CONCLUSION: An evaluation tool for the procedural steps, errors, and events in iliac-femoral-popliteal endovascular procedures was developed through a modified Delphi consensus and applied to recorded intra-operative data to identify hazardous steps, common errors, and events. Procedural mastery may be promoted by using the frameworks to provide endovascular proceduralists with detailed technical performance feedback | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Angioplasty balloon | |
| 650 | 4 | |a Delphi technique | |
| 650 | 4 | |a Endovascular procedures | |
| 650 | 4 | |a Medical errors | |
| 700 | 1 | |a Gorden, Lauren |e verfasserin |4 aut | |
| 700 | 1 | |a Doyen, Bart |e verfasserin |4 aut | |
| 700 | 1 | |a Wheatcroft, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a de Mestral, Charles |e verfasserin |4 aut | |
| 700 | 1 | |a Palter, Vanessa |e verfasserin |4 aut | |
| 700 | 1 | |a Van Herzeele, Isabelle |e verfasserin |4 aut | |
| 700 | 0 | |a ENDORATE-PVI consortium |e verfasserin |4 aut | |
| 700 | 1 | |a Goncalves, Frederico Bastos |e investigator |4 oth | |
| 700 | 1 | |a Baumgartner, Iris |e investigator |4 oth | |
| 700 | 1 | |a Bilhim, Tiago |e investigator |4 oth | |
| 700 | 1 | |a Bisdas, Theodosios |e investigator |4 oth | |
| 700 | 1 | |a Bismuth, Jean |e investigator |4 oth | |
| 700 | 1 | |a Brodmann, Marianne |e investigator |4 oth | |
| 700 | 1 | |a Castriota, Fausto |e investigator |4 oth | |
| 700 | 1 | |a Cieri, Enrico |e investigator |4 oth | |
| 700 | 1 | |a Deloose, Koen |e investigator |4 oth | |
| 700 | 1 | |a Dias, Nuno |e investigator |4 oth | |
| 700 | 1 | |a Diehm, Nicolas |e investigator |4 oth | |
| 700 | 1 | |a Ferraresi, Roberto |e investigator |4 oth | |
| 700 | 1 | |a Haskal, Ziv J |e investigator |4 oth | |
| 700 | 1 | |a Hinchliffe, Robert |e investigator |4 oth | |
| 700 | 1 | |a Kayssi, Ahmed |e investigator |4 oth | |
| 700 | 1 | |a Leal Lorenzo, Jose Ignacio |e investigator |4 oth | |
| 700 | 1 | |a Lookstein, Robert |e investigator |4 oth | |
| 700 | 1 | |a Morgan, Robert |e investigator |4 oth | |
| 700 | 1 | |a Müller-Hülsbeck, Stefan |e investigator |4 oth | |
| 700 | 1 | |a Mustapha, Jihad |e investigator |4 oth | |
| 700 | 1 | |a Nienaber, Christoph Anton |e investigator |4 oth | |
| 700 | 1 | |a Papia, Guiseppe |e investigator |4 oth | |
| 700 | 1 | |a Patel, Ashish |e investigator |4 oth | |
| 700 | 1 | |a Prasad, Anand |e investigator |4 oth | |
| 700 | 1 | |a Stavroulakis, Konstatinos |e investigator |4 oth | |
| 700 | 1 | |a Reijnen, Michel |e investigator |4 oth | |
| 700 | 1 | |a Rundback, John |e investigator |4 oth | |
| 700 | 1 | |a van den Berg, Jos C |e investigator |4 oth | |
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