Develop and Validate Intubation Checklist for Critically Ill Patients Admitted in Intensive Care Units of the Teaching Hospital of Navi Mumbai

S. Mankayarkarasi, Marika Mathew, S. Sinha
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Abstract

Aims: This study aims to develop and validate intubation checklist for critically ill patients admitted in intensive care units of the teaching hospital of Navi Mumbai. Materials and Methods: Expert data for an intubation checklist for critically ill patients are gathered using the Delphi method. The Delphi method is a structured communication technique or method that uses a panel of experts to make decisions. In three rounds, the experts respond. A facilitator or change agent summarizes the experts’ predictions and the reasons they gave for their predictions after each round. Experts are thus encouraged to revise previous responses in light of the responses of other panelists. Results: The findings show that agreement for development intubation has increased. One hundred percent of the 15 experts strongly agreed. Endotracheal intubation complications are reduced by 86.7% when using the endotracheal intubation checklist. The content of this endotracheal intubation checklist is appropriate in 80% of cases. The checklist for endotracheal intubation is superior to the protocol. Conclusion: A critically ill patient intubation checklist was created and validated. In total, 42 items were suggested by experts. In rounds two and three, the expert consensus was accepted, and the majority of items in both rounds had no significant differences in opinion. ItemContent Validity Index (CVI) (below 0.78) and slightly different opinions were removed. The final checklist included 41 items with 100% expert agreement, a high CVI-I of ranking agreement, and an inter-rater reliability of 0.94, indicating that the tool is highly valid and reliable.
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新孟买教学医院重症监护病房危重病人插管检查表的制定和验证
目的:本研究旨在建立并验证新孟买教学医院重症监护病房危重病人插管检查表。材料和方法:采用德尔菲法收集危重病人插管检查表的专家数据。德尔菲法是一种结构化的沟通技术或方法,它使用一个专家小组来做决定。在三轮比赛中,专家们做出了回应。推动者或变革推动者在每一轮之后总结专家的预测以及他们给出的预测理由。因此,鼓励专家根据其他小组成员的答复修改以前的答复。结果:研究结果表明,对发展插管的认同有所增加。15名专家中100%强烈同意。使用气管插管检查表后,气管插管并发症减少86.7%。这份气管插管检查表的内容适用于80%的病例。气管插管检查表优于方案。结论:建立并验证了危重病人插管检查表。专家们总共提出了42项建议。在第二轮和第三轮中,专家的共识被接受,两轮中的大多数项目都没有明显的意见分歧。ItemContent Validity Index (CVI)(低于0.78)和略有不同的意见被删除。最终的清单包含41个项目,专家一致性100%,排名一致性CVI-I较高,评分间信度为0.94,表明该工具具有较高的效度和可靠性。
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