Protocol for Development and Validation of Metrics for Conventional Lumbar Epidural Catheter Placement for Labor Analgesia in Obstetric Patients
Sponsor study identifier
observational
20
1 country
1
Study Start
November 2013
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
July 2014
Actual (reported)Study Completion
July 2014
Actual (reported)Procedural skills play an important role in anaesthetic expertise. More focused training and assessment of procedural skills will be needed in the future as training moves from an apprenticeship based training system to competency based assessment. Currently various techniques exists to assess procedural skills of anaesthetist. For epidural catheter placement, task specific check list, global rating scales and cumulative sum techniques have been developed and validated. These techniques aim either for better qualitative outcome sacrificing objectivity or rely on self-reporting. A decrease in objectivity in turn hampers inter-rater reliability which is an essential component of a valid assessment model. Checklists type assessments force the developer to comprehensively characterize the procedure of interest and then validate the completed procedure characterization. This approach has been quantitatively shown to have higher assessment reliability levels compared to Likert-scale assessment. The objective of the project is to develop and validate a comprehensive procedure characterization for labor epidural catheter placement. Another objective is to compare this new assessment tool with existing checklist and global rating scale for labor epidural to establish concurrent validity.5 A well-developed objective, validated procedure characterization serves as a master tool which has multiple applications. It helps to build a training programme for the procedure, allows providing metrics based feedback to trainees using simulator, helps to assess the performance of trainees and in future might be used as benchmark to allow competency based progression in the training.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 2014
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
November 2013
Date type not reportedThis date has not been verified as actual or estimated.
June 30, 2014
Actual (reported)July 2014
Actual (reported)July 2014
Actual (reported)July 2, 2014
Actual (reported)Construct validitiy
a set of procedures for evaluating a testing instrument based on a degree to which the test terms identify the quality, ability or trait it was designed to measure.In our study we aim to see if the metrics developed will be able to differentiate between experts and novices in performing the porcedure
WIthin 12 months post recording epidural procedure video
Concurrrent validity
within 12 months following completion of epidural video recording
Interrater reliability
12 months from time of aquiring the epidural video
This will include video taping of experts (defined as one who has performed more than 500 labor epidurals in preceding 5 year period) and novices (defined as one who has done less than 50 epidurals in preceeding 2 years) perfoming labor epidural
Video taping of anaesthetist (experts and novices) perfoming labor epidural.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Expertes and novice anaesthetist perfoming labor epidural analgesia
Cork University Hospital
Cork,Ireland, Ireland
Kallidaikurichi Srinivasan K, Gallagher A, O'Brien N, Sudir V, Barrett N, O'Connor R, Holt F, Lee P, O'Donnell B, Shorten G. Proficiency-based progression training: an 'end to end' model for decreasing error applied to achievement of effective epidural analgesia during labour: a randomised control study. BMJ Open. 2018 Oct 15;8(10):e020099. doi: 10.1136/bmjopen-2017-020099.
Karthikeyan Kallidaikurichi Srinivasan, FCARCSI,MD
Cork University Hospital
20 participants (actual enrollment reported by the registry).
First Submitted
June 30, 2014
First Posted
July 2, 2014
Study Start
November 2013
Date type not reportedThis date has not been verified as actual or estimated.
Comparison of Epidural Fentanyl and Clonidine for Breakthrough Pain
Analgesic Efficacy of Two Concentrations of Bupivacaine in Women in Labor
Contact the study team to confirm eligibility.
Primary Completion
July 2014
Actual (reported)Study Completion
July 2014
Actual (reported)Last Updated
August 28, 2015
Record last verified: 2015-08
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Source: ClinicalTrials.gov.
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