naa a22 4500 510743501 CHVBK 20180411083036.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12630-013-0045-1 doi (NATIONALLICENCE)springer-10.1007/s12630-013-0045-1 Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum) [Elektronische Daten] [Tim Starkie, Elizabeth Drake] Évaluation de la formation en habiletés techniques et de la performance en anesthésie au moyen de l'analyse des sommes cumulées (cusum) Purpose: The current methods (work based assessments and logbooks) used to assess procedural competency and performance have well-documented deficiencies. Cumulative sum analysis (cusum), a statistical method that generates performance graphs over time, is an alternative tool that is not currently widely used. The purpose of this review is to investigate its current role in anesthetic procedural skills training and performance. Source: A literature search of MEDLINE®, EMBASE™, BNI, CINAHL®, the Cochrane Library, NHS Evidence, and the Trip database was performed in October 2012. All papers using cusum to investigate performance in anesthetic procedural skills were included. Their references were searched manually to identify any additional studies. Principal findings: Thirteen papers were identified. The procedural skills they investigated could be split broadly into three groups: ultrasound skills, airway and cannulation, and regional anesthesia. All papers had small sample sizes (<30), with most researching novice trainee performance. Wide ranges were seen in the number of procedures required to achieve cusum-defined procedural competency. These were due to differences in definitions of success/failure of a procedure, the acceptable and unacceptable failure rates used for the initial cusum calculation, and individual trainee performance. Conclusion: Cusum can be used to assess procedural competency, but several problems need to be overcome before it can become a universally accepted method. It is ideally placed to be used as a quality control tool for a trained individual and could also be used to assess the impact of new training methods or equipment on performance. Canadian Anesthesiologists' Society, 2013 Starkie Tim Department of Anesthesia, Derriford Hospital, Derriford Road, PL6 8DH, Plymouth, UK aut Drake Elizabeth Department of Anesthesia, Derriford Hospital, Derriford Road, PL6 8DH, Plymouth, UK aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1228-1239 0832-610X 60:12<1228 2013 60 12630 https://doi.org/10.1007/s12630-013-0045-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-0045-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Starkie Tim Department of Anesthesia, Derriford Hospital, Derriford Road, PL6 8DH, Plymouth, UK aut NATIONALLICENCE 700 1- Drake Elizabeth Department of Anesthesia, Derriford Hospital, Derriford Road, PL6 8DH, Plymouth, UK aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1228-1239 0832-610X 60:12<1228 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer