Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Using structured progress to measure competence in flexible bronchoscopy

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Efficacy and safety of omitting chest drains after video-assisted thoracoscopic surgery: a systematic review and meta-analysis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. EUS-B for suspected left adrenal metastasis in lung cancer

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Benefits of omitting chest drain after thoracoscopic major lung resection

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Computed tomography of the chest in unilateral pleural effusions: outcome of the British Thoracic Society guideline

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Evaluation of competence in ultrasound-guided procedures-a generic assessment tool developed through the Delphi method

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Simulation-based training in ultrasound - where are we now?

    Publikation: Bidrag til tidsskriftLederpeer review

  3. Training and education of healthcare workers during viral epidemics: a systematic review

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Reliable test of clinicians' mastery in skin cancer diagnostics

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Training non-intensivist doctors to work with COVID-19 patients in intensive care units

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background: Flexible bronchoscopy is a core invasive procedure in pulmonary medicine and training in the procedure is mandatory. Diagnostic completeness and procedure time have been identified as useful measures of competence. No outcome measures have been developed regarding navigational path in bronchoscopy to assess whether the bronchial segments have been identified in an arbitrary or structured order. We investigated whether a new outcome measure for structured progression could be used to assess competency in flexible bronchoscopy.

Methods: The study was designed as a prospective comparative study. Twelve novices, eleven intermediates, and ten expert bronchoscopy operators completed three full bronchoscopies in a simulated setting on a phantom. The following outcome measures were collected through a checklist evaluation by a trained rater: Diagnostic Completeness as amount of visualized bronchial segments, Structured Progress between the bronchial segments in ascending order, and average intersegmental time (AIT).

Results: The ability to follow a structured ascending path through the bronchial tree correlated with a higher amount of identified bronchial segments (Pearson's correlation, r=0.62, P<0.001) and a lower AIT (Pearson's correlation, r=-0.52, P<0.001).

Conclusions: Operators should advance through the bronchial tree in a structured ascending order to ensure systematic progress with the highest level of diagnostic yield and the lowest procedure time. Structured progression is a useful measure to evaluate competency in flexible bronchoscopy.

OriginalsprogEngelsk
TidsskriftJournal of Thoracic Disease
Vol/bind12
Udgave nummer11
Sider (fra-til)6797-6805
Antal sider9
ISSN2072-1439
DOI
StatusUdgivet - nov. 2020

Bibliografisk note

2020 Journal of Thoracic Disease. All rights reserved.

ID: 61412133