ArticlePloS one2015
Assessing Complex Emergency Management with Clinical Case-Vignettes: A Validation Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Paediatric fever management practices and antipyretic use among doctors and nurses in New Zealand emergency departments.Emergency medicine Australasia : EMA · 2022Trial
- Comparative satisfaction and effectiveness of virtual simulation and usual supervised work for postpartum hemorrhage management: a crossover randomized controlled trial.BMC medical education · 2022Trial
- Serious Games as a Validation Tool for PREDIS: A Decision Support System for Disaster Management.International journal of environmental research and public health · 2022Article
- Promptness of oxytocin administration for first-line treatment of postpartum hemorrhage: a national vignette-based study among midwives.BMC pregnancy and childbirth · 2022Article
- How do Physicians Manage Functional Neurological Symptom Disorder and Somatic Symptom Disorder in the Emergency Department? A Vignette Study.Noro psikiyatri arsivi · 2021Article
- Variation in severe postpartum hemorrhage management: A national vignette-based study.PloS one · 2018Article
- Staff and Institutional Factors Associated with Substandard Care in the Management of Postpartum Hemorrhage.PloS one · 2016Article
- Using Clinical Vignettes to Assess Quality of Care for Acute Respiratory Infections.Inquiry : a journal of medical care organization, provision and financing · 2016Article
- Variations in Postpartum Hemorrhage Management among Midwives: A National Vignette-Based Study.PloS one · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate whether responses to dynamic case-vignettes accurately reflect actual practices in complex emergency situations. We hypothesized that when obstetricians were faced with vignette of emergency situation identical to one they previously managed, they would report the management strategy they actually used. On the other hand, there is no reason to suppose that their response to a vignette based on a source case managed by another obstetrician would be the same as the actual management.
methodsA multicenter vignette-based study was used in 7 French maternity units. We chose the example of severe postpartum hemorrhage (PPH) to study the use of case-vignettes for assessing the management of complex situations. We developed dynamic case-vignettes describing incidents of PPH in several steps, using documentation in patient files. Vignettes described the postpartum course and included multiple-choice questions detailing proposed clinical care. Each participating obstetrician was asked to evaluate 4 case-vignettes: 2 directly derived from cases they previously managed and 2 derived from other obstetricians' cases. We compared the final treatment decision in vignette responses to those documented in the source-case by the overall agreement and the Kappa coefficient, both for the cases the obstetricians previously managed and the cases of others.
resultsThirty obstetricians participated. Overall agreement between final treatment decisions in case-vignettes and documented care for cases obstetricians previously managed was 82% (Kappa coefficient: 0.75, 95% CI [0.62-0.88]). Overall agreement between final treatment decisions in case-vignettes and documented care in vignettes derived from other obstetricians' cases was only 48% (Kappa coefficient: 0.30, 95% CI [0.12-0.48]). Final agreement with documented care was significantly better for cases based on their own previous cases than for others (p<0.001).
conclusionsDynamic case-vignettes accurately reflect actual practices in complex emergency situations. Therefore, they can be used to assess the quality of management in these situations.
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