Is the NIHSS Certification Process Too Lenient?
Author(s) -
Nancy K. Hills,
S. Andrew Josephson,
Patrick D. Lyden,
S. Claiborne Johnston
Publication year - 2009
Publication title -
cerebrovascular diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 104
eISSN - 1421-9786
pISSN - 1015-9770
DOI - 10.1159/000209237
Subject(s) - medicine , certification , process (computing) , intensive care medicine , political science , law , computer science , operating system
The National Institutes of Health Stroke Scale (NIHSS) is a widely used measure of neurological function in clinical trials and patient assessment; inter-rater scoring variability could impact communications and trial power. The manner in which the rater certification test is scored yields multiple correct answers that have changed over time. We examined the range of possible total NIHSS scores from answers given in certification tests by over 7,000 individual raters who were certified.
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