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Published in: European Journal of Trauma and Emergency Surgery 1/2022

Open Access 01-02-2022 | Original Article

Reliability of the assessment of non-technical skills by using video-recorded trauma resuscitations

Authors: Oscar E. C. van Maarseveen, Wietske H. W. Ham, Roel L. N. Huijsmans, Rianne G. F. Dolmans, Luke P. H. Leenen

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2022

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Abstract

Purpose

Non-technical skills have gained attention, since enhancement of these skills is presumed to improve the process of trauma resuscitation. However, the reliability of assessing non-technical skills is underexposed, especially when using video analysis. Therefore, our primary aim was to assess the reliability of the Trauma Non-Technical Skills (T-NOTECHS) tool by video analysis. Secondarily, we investigated to what extent reliability increased when the T-NOTECHS was assessed by three assessors [average intra-class correlation (ICC)] instead of one (individual ICC).

Methods

As calculated by a pre-study power analysis, 18 videos were reviewed by three research assistants using the T-NOTECHS tool. Average and individual degree of agreement of the assessors was calculated using a two-way mixed model ICC.

Results

Average ICC was ‘excellent’ for the overall score and all five domains. Individual ICC was classified as ‘excellent’ for the overall score. Of the five domains, only one was classified as ‘excellent’, two as ‘good’ and two were even only ‘fair’.

Conclusions

Assessment of non-technical skills using the T-NOTECHS is reliable using video analysis and has an excellent reliability for the overall T-NOTECHS score. Assessment by three raters further improve the reliability, resulting in an excellent reliability for all individual domains.
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Metadata
Title
Reliability of the assessment of non-technical skills by using video-recorded trauma resuscitations
Authors
Oscar E. C. van Maarseveen
Wietske H. W. Ham
Roel L. N. Huijsmans
Rianne G. F. Dolmans
Luke P. H. Leenen
Publication date
01-02-2022
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-020-01401-5

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