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Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit

BACKGROUND: Resuscitation of critically ill patients is complex and potentially prone to diagnostic errors and therapeutic harm. The Checklist for early recognition and treatment of acute illness and injury (CERTAIN) is an electronic tool that aims to provide decision-support, charting, and promptin...

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Autores principales: Kogan, Alexander, Pennington, Kelly M., Vallabhajosyula, Saraschandra, Dziadzko, Mikhail, Bennett, Courtney E., Jensen, Jeffrey B., Gajic, Ognjen, O'Horo, John C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699002/
https://www.ncbi.nlm.nih.gov/pubmed/29279635
http://dx.doi.org/10.4103/ijccm.IJCCM_209_17
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author Kogan, Alexander
Pennington, Kelly M.
Vallabhajosyula, Saraschandra
Dziadzko, Mikhail
Bennett, Courtney E.
Jensen, Jeffrey B.
Gajic, Ognjen
O'Horo, John C.
author_facet Kogan, Alexander
Pennington, Kelly M.
Vallabhajosyula, Saraschandra
Dziadzko, Mikhail
Bennett, Courtney E.
Jensen, Jeffrey B.
Gajic, Ognjen
O'Horo, John C.
author_sort Kogan, Alexander
collection PubMed
description BACKGROUND: Resuscitation of critically ill patients is complex and potentially prone to diagnostic errors and therapeutic harm. The Checklist for early recognition and treatment of acute illness and injury (CERTAIN) is an electronic tool that aims to provide decision-support, charting, and prompting for standardization. This study sought to evaluate the validity and reliability of CERTAIN in a real-time Intensive Care Unit (ICU). MATERIALS AND METHODS: This was a prospective pilot study in the medical ICU of a tertiary care medical center. A total of thirty patient encounters over 2 months period were charted independently by two CERTAIN investigators. The inter-observer recordings and comparison to the electronic medical records (EMR) were used to evaluate reliability and validity, respectively. The primary outcome was reliability and validity measured using Cohen's Kappa statistic. Secondary outcomes included time to completion, user satisfaction, and learning curve. RESULTS: A total of 30 patients with a median age of 59 (42–78) years and median acute physiology and chronic health evaluation III score of 38 (23–50) were included in this study. Inter-observer agreement was very good (κ = 0.79) in this study and agreement between CERTAIN and the EMR was good (κ = 0.5). CERTAIN charting was completed in real-time that was 121 (92–150) min before completion of EMR charting. The subjective learning curve was 3.5 patients without differences in providers with different levels of training. CONCLUSIONS: CERTAIN provides a reliable and valid method to evaluate resuscitation events in real time. CERTAIN provided the ability to complete data in real-time.
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spelling pubmed-56990022017-12-26 Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit Kogan, Alexander Pennington, Kelly M. Vallabhajosyula, Saraschandra Dziadzko, Mikhail Bennett, Courtney E. Jensen, Jeffrey B. Gajic, Ognjen O'Horo, John C. Indian J Crit Care Med Research Article BACKGROUND: Resuscitation of critically ill patients is complex and potentially prone to diagnostic errors and therapeutic harm. The Checklist for early recognition and treatment of acute illness and injury (CERTAIN) is an electronic tool that aims to provide decision-support, charting, and prompting for standardization. This study sought to evaluate the validity and reliability of CERTAIN in a real-time Intensive Care Unit (ICU). MATERIALS AND METHODS: This was a prospective pilot study in the medical ICU of a tertiary care medical center. A total of thirty patient encounters over 2 months period were charted independently by two CERTAIN investigators. The inter-observer recordings and comparison to the electronic medical records (EMR) were used to evaluate reliability and validity, respectively. The primary outcome was reliability and validity measured using Cohen's Kappa statistic. Secondary outcomes included time to completion, user satisfaction, and learning curve. RESULTS: A total of 30 patients with a median age of 59 (42–78) years and median acute physiology and chronic health evaluation III score of 38 (23–50) were included in this study. Inter-observer agreement was very good (κ = 0.79) in this study and agreement between CERTAIN and the EMR was good (κ = 0.5). CERTAIN charting was completed in real-time that was 121 (92–150) min before completion of EMR charting. The subjective learning curve was 3.5 patients without differences in providers with different levels of training. CONCLUSIONS: CERTAIN provides a reliable and valid method to evaluate resuscitation events in real time. CERTAIN provided the ability to complete data in real-time. Medknow Publications & Media Pvt Ltd 2017-11 /pmc/articles/PMC5699002/ /pubmed/29279635 http://dx.doi.org/10.4103/ijccm.IJCCM_209_17 Text en Copyright: © 2017 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Research Article
Kogan, Alexander
Pennington, Kelly M.
Vallabhajosyula, Saraschandra
Dziadzko, Mikhail
Bennett, Courtney E.
Jensen, Jeffrey B.
Gajic, Ognjen
O'Horo, John C.
Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title_full Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title_fullStr Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title_full_unstemmed Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title_short Reliability and Validity of the Checklist for Early Recognition and Treatment of Acute Illness and Injury as a Charting Tool in the Medical Intensive Care Unit
title_sort reliability and validity of the checklist for early recognition and treatment of acute illness and injury as a charting tool in the medical intensive care unit
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699002/
https://www.ncbi.nlm.nih.gov/pubmed/29279635
http://dx.doi.org/10.4103/ijccm.IJCCM_209_17
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