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Development of a comprehensive Percutaneous Dilatational Tracheostomy process model for procedural training: A Delphi‐based experts consensus
Author(s) -
Fuente Rene,
Kattan Eduardo,
MunozGama Jorge,
Puente Ignacio,
Navarrete Matías,
Kychenthal Catalina,
Fuentes Ricardo,
Bravo Sebastian,
Galvez Victor,
Sepúlveda Marcos
Publication year - 2021
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.13716
Subject(s) - medicine , delphi method , competence (human resources) , delphi , medical physics , medical education , computer science , artificial intelligence , psychology , social psychology , operating system
Background Deconstructing a complex procedure improves skills learning, but no model has covered all relevant Percutaneous Dilatational Tracheostomy (PDT) procedural aspects. Moreover, the heterogeneity of techniques described may hinder trainees’ competency acquisition. Our objective was to develop a PDT model for procedural training that includes a comprehensive step‐by‐step design. Methods Procedural descriptions were retrieved after a structured search in medical databases. Activities were extracted and the adherence to McKinley's dimensions of procedural competence was analyzed. We developed a comprehensive PDT model, which was further validated through a Delphi‐based consensus of Spanish‐speaking international experts. Results The 14 descriptions retrieved for analysis presented a median [interquartile range] of 18 [11‐22] steps, covering 3 [2‐4] of McKinley's dimensions. The Delphi panel's first model included all McKinley's dimensions, and was answered by 25 experts from nine countries, ending in the second round. The final model included 59 activities divided into six stages (51 from the initial model and eight proposed by experts) and performed by two operators (bronchoscopy and tracheostomy). Conclusions We have presented a PDT model that includes necessary competence dimensions to be considered complete. The model was validated by an experts’ consensus, allowing to improve procedural training to promote safer patient care.