Development of a comprehensive Percutaneous Dilatational Tracheostomy process model for procedural training: a Delphi?based experts consensusRevista : Acta Anaesthesiologica Scandinavica
Tipo de publicación : ISI Ir a publicación
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.
Procedural descriptions were retrieved after a structured search in medical databases. Activities were extracted and the adherence to McKinleys 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.
The 14 descriptions retrieved for analysis presented a median [interquartile range] of 18 [11?22] steps, covering 3 [2?4] of McKinleys dimensions. The Delphi panels first model included all McKinleys dimensions, and was answered by 25 experts from 9 countries, ending in the second round. The final model included 59 activities divided into 6 stages (51 from the initial model and 8 proposed by experts) and performed by two operators (bronchoscopy and tracheostomy).
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.