ArticleAdvances in medical education and practice2017
Development of performance and error metrics for ultrasound-guided axillary brachial plexus block.
Article in Advances in medical education and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Proficiency-based simulation training in healthcare - a scoping review protocol.Irish journal of medical science · 2026Review
- European expert consensus on a structured approach to circular stapling anastomosis in minimally invasive left-sided colorectal resection.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Article
- Patterns of Skills Acquisition in Anesthesiologists During Simulated Interscalene Block Training on a Soft Embalmed Thiel Cadaver: Cohort Study.JMIR medical education · 2022Article
- Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke.Frontiers in neurology · 2022Article
- European expert consensus on a structured approach to training robotic-assisted low anterior resection using performance metrics.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2020Article
- The Development of a Basic Procedural Skills Checklist for a Simulation-based Mastery Learning Curriculum for Ultrasound-guided Interscalene Peripheral Nerve Blocks for Novice Residents.The journal of education in perioperative medicine : JEPMArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChange in the landscape of medical education coupled with a paradigm shift toward outcome-based training mandates the trainee to demonstrate specific predefined performance benchmarks in order to progress through training. A valid and reliable assessment tool is a prerequisite for this process. The objective of this study was to characterize ultrasound-guided axillary brachial plexus block to develop performance and error metrics and to verify face and content validity using a modified Delphi method.
methodsA metric group (MG) was established, which comprised three expert regional anesthesiologists, an experimental psychologist and a trained facilitator. The MG deconstructed ultrasound-guided axillary brachial plexus block to identify and define performance and error metrics. Experts reviewed five video recordings of the procedure performed by anesthesiologists with different levels of expertise to aid task deconstruction. Subsequently, the MG subjected the metrics to "stress testing", a process to ascertain the extent to which the performance and error metrics could be scored objectively, either occurring or not occurring with a high degree of reliability. Ten experienced regional anesthesiologists used a modified Delphi method to reach consensus on the metrics.
resultsFifty-four performance metrics, organized in six procedural phases and characterizing ultrasound-guided axillary brachial plexus block and 32 error metrics (nine categorized as critical) were identified and defined. Based on the Delphi panel consensus, one performance metric was modified, six deleted and three added.
conclusionIn this study, we characterized ultrasound-guided axillary brachial plexus block to develop performance and error metrics as a prerequisite for outcome-based training and assessment. Delphi consensus verified face and content validity.
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