Video-Based Evaluation of Checklist Adherence on a Neonatal Intensive Care Unit: A Prospective Observational Study.

IF 2.1 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-09-08 DOI:10.1111/apa.70288

Lisa Kessler, Hannah Schwarz, Katharina Bibl, Robyn Dvorsky, Andrea Lietz, Lena Strasser, Vanessa Roth, Moritz Haderer, Katrin Klebermass-Schrehof, Tobias Werther, Angelika Berger, Michael Wagner

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引用次数: 0

Abstract

Aim: Successful procedural performance in a Neonatal Intensive Care Unit (NICU) depends on skill performance and preparation. Checklists are beneficial, and video reviewing enhances adherence to guidelines. This study assessed whether video recordings can be used to assess checklist deviations, the extent to which proceduralists (doctors from 1 to ≥ 6 years of experience) deviate from checklists, and whether video recordings can help to improve existing and create new checklists.

Methods: In this single-center study at the tertiary NICU of the Medical University of Vienna, Austria, fifty-one videos from six different procedures were analyzed: (i) intubation, (ii) insertion of a chest drain, (iii) insertion of an umbilical venous catheter (UVC), (iv) insertion of a central venous catheter (CVC), (v) lumbar puncture (LP), and (vi) puncture of Ommaya reservoir. Each step was scored using a 4-point scale (-1 to 2) using the corresponding checklist.

Results: Twenty proceduralists performed the 51 videos. 78% of all checklist steps were assessable through video analysis. Deviations were identified in each procedure (10%-17.9%). We created two new checklists by analyzing video recordings.

Conclusion: Checklist deviations occur regularly and can be detected by analyzing clinical video recordings. Video recordings are useful to revise existing and create new checklists.

查看原文本刊更多论文

基于视频的新生儿重症监护病房检查表依从性评估：一项前瞻性观察研究。

目的：在新生儿重症监护病房（NICU）成功的程序表现取决于技能表现和准备。检查清单是有益的，视频回顾增强了对指导方针的遵守。本研究评估了视频记录是否可以用于评估核对表偏差，程序医生（1至6年以上经验的医生）偏离核对表的程度，以及视频记录是否有助于改进现有核对表并创建新的核对表。方法：在奥地利维也纳医科大学第三期NICU进行的单中心研究中，分析了来自六种不同手术的51个视频：(i)插管，（ii）插入胸腔引流管，（iii）插入脐静脉导管（UVC），（iv）插入中心静脉导管（CVC）， (v)腰椎穿刺（LP）和（vi）穿刺Ommaya储层。每个步骤使用4分制（-1到2）使用相应的检查表进行评分。结果：20名程序医生完成了51个录像。78%的检查表步骤可通过视频分析进行评估。在每个程序中发现偏差（10%-17.9%）。我们通过分析录像创建了两个新的检查清单。结论：检查表偏差有规律发生，可通过临床录像分析发现。视频记录对于修改现有清单和创建新的清单非常有用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries