Evidence map›Paper›PMID 30142204›Full record

ArticlePloS one2018

Performance Assessment of Emergency Teams and Communication in Trauma Care (PERFECT checklist)-Explorative analysis, development and validation of the PERFECT checklist: Part of the prospective longitudinal mixed-methods EPPTC trial.

David Häske, Stefan K Beckers, Marzellus Hofmann, Rolf Lefering, Christine Preiser, Bernhard Gliwitzky, Paul Alfred Grützner, Ulrich Stöckle, Matthias Münzberg

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Quality improvement program for the severely injured.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Review
  5. Article
  6. No trauma-related diagnosis in emergency trauma room whole-body computer tomography of patients with inconspicuous primary survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

David HäskeFaculty of Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.ORCID 0000-0001-5190-3937
Stefan K BeckersDepartment of Anaesthesiology, Faculty of Medicine, University Hospital RWTH, Aachen, Aachen, Germany.
Marzellus HofmannFaculty of Health, University of Witten/Herdecke, Witten, Germany.
Rolf LeferingInstitute for Research in Operative Medicine, University of Witten/Herdecke, Cologne, Germany.
Christine PreiserCoordination Centre for Health Services Research, University Hospital Tübingen, Tübingen, Germany.
Bernhard GliwitzkyMegamed Emergency Management GbR, Maikammer, Germany.
Paul Alfred GrütznerDepartment of Trauma and Orthopaedic Surgery, BG Hospital Ludwigshafen, Ludwigshafen, Germany.
Ulrich StöckleDepartment of Traumatology and Reconstructive Surgery, BG Hospital Tübingen, Tübingen, Germany.
Matthias MünzbergDepartment of Trauma and Orthopaedic Surgery, BG Hospital Ludwigshafen, Ludwigshafen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrainings in emergency medicine are well structured, but examinations are rarely validated. We are evaluating the impact of pre-hospital emergency trainings on participants and patient care and developed and validated a checklist to assess emergency trainings.

methodsWe used videos recorded at the time points directly before (t0), directly after (t1), and one year after (t2) training to develop the PERFECT checklist (Performance Assessment of Emergency Teams and Communication in Trauma Care). The videos were assessed using semi-qualitative/linguistic analysis as well as expert panel appraisal and recommendations using the Delphi method. The checklist was tested for validity and reliability.

resultsThe inter-rater reliability (ICC = 0.99) and internal consistency (α = 0.99) were high. Concurrent validity was moderate to high (r = 0.65 -r = 0.93 (p<0.001)). We included scales for procedures, non-technical skills, technical skills and global performance. The procedures were done faster in the mean over the timeline (t0: 2:29, 95%CI 1:54-3:03 min., t1: 1:11, 95%C 0:53-1:30 min, t2: 1:14, 95%CI 0:56-1:31 min.). All experts rated the recorded scenarios at t0 with the lowest sum score (mean 31±8), with a significantly better performance of the teams at t1 (mean 69±7). The performance at t2 (mean 66 ± 13) was slightly lower than at t1, but still better than at t0. At t1 and t2, linguistic analysis showed a change in the team leaders communication behaviour, which can be interpreted as a surrogate parameter for reduced stress.

conclusionThe PERFECT checklist has a good validity and high reliability for assessing trauma procedures and teamwork.

Indexed as

Emergency MedicineChecklistClinical CompetenceHumansLongitudinal StudiesPatient CareProspective StudiesTrauma CentersVideotape Recording

Identifiers

PMID30142204
PMCPMC6108494

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.