Many specialties utilize procedural performance checklists as an aid to teach residents and other learners. Procedural checklists ensure that the critical steps of the desired procedure are performed in a specified manner every time. Valid measures of competency are needed to evaluate learners and ensure a standard quality of care. The objective of this study was to employ the modified Delphi method to derive a procedural checklist for use during placement of ultrasound-guided femoral arterial access.
Methods:
A 27-item procedural checklist was provided to 14 experts from three acute care specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback.
Results:
Three rounds of the study were performed resulting in a final 23-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist.
Conclusion:
A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings.
ScheerBPerelAPfeifferU.Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care2002; 6(3): 199–204.
SetoAAbu-FadelMSSparlingJM, et al. Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial). JACC Cardiovasc Interv2010; 3(7): 751–758.
4.
DudeckOTeichgraeberUPodrabskyP, et al. A randomized trial assessing the value of ultrasound-guided puncture of the femoral artery for interventional investigations. Int J Cardiovasc Imaging2004; 20(5): 363–368.
5.
SoverowJOyamaJLeeM.Adoption of routine ultrasound guidance for femoral arterial access for cardiac catheterization. J Invasive Cardiol2016; 28(8): 311–314.
6.
ShiverSBlaivasMLyonM.A prospective comparison of ultrasound-guided and blindly placed radial arterial catheters. Acad Emerg Med2008; 13(12): 1275–1279.
7.
BoydJWuGStelfoxH.The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. J Hosp Med2017; 12(8): 675–682.
8.
KunzDPariyadathMWittlerM, et al. Derivation of a performance checklist for ultrasound-guided arthrocentesis using the modified Delphi method. J Ultrasound Med2017; 36(6): 1147–1152.
9.
CheungJChenEDaraniR, et al. The creation of an objective assessment tool for ultrasound-guided regional anesthesia using the Delphi method. Reg Anesth Pain Med2012; 37(3): 329–333.
10.
JungCBreaudAShengA, et al. Delphi method validation of a procedural performance checklist for insertion of an ultrasound-guided peripheral intravenous catheter. Am J Emerg Med2016; 34(11): 2227–2230.
JonesJHunterD.Consensus methods for medical and health services research. BMJ1995; 311(7001): 376–380.
14.
HartmanNWittlerMAskewK, et al. Delphi method validation of a procedural performance checklist for insertion of an ultrasound-guided internal jugular central line. Am J Med Qual2014; 31(1): 81–85.
15.
BergKRiesenbergLBergD, et al. The development of a validated checklist for radial arterial line placement: preliminary results. Am J Med Qual2014; 29(3): 242–246.
16.
HsuCSandfordB.The Delphi technique: making sense of consensus. Pract Assess Res Eval2007; 12(10): 1–8.
17.
BoulkedidRAbdoulHLoustauM, et al. Using and reporting the Delphi method for selecting healthcare quality indicators: a systematic review. PLoS ONE2011; 6(6): e20476.
18.
O’GradyNAlexanderMBurnsL, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis2011; 52(9): e162–e193.
19.
American Society of Anesthesiologists Task Force on Central Venous Access, RuppSApfelbaumJ, et al. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Cen-tral Venous Access. Anesthesiology2012; 116(3): 539–573.
20.
AIUM practice parameter for the use of ultrasound to guide vascular access procedures. J Ultrasound Med2019; 38(3): E4–E18.
21.
SobolevMSlovutDLee ChangA, et al. Ultrasound-guided catheterization of the femoral artery: a systematic review and meta-analysis of randomized controlled trials. J Invasive Cardiol2015; 27(7): 318–323.
BerkDGurkanYKusA, et al. Ultrasound-guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches. J Clin Monit Comput2013; 27(3): 319–324.
24.
LiuCMaoZKangH, et al. Comparison between the long-axis/in-plane and short-axis/out-of-plane approaches for ultrasound-guided vascular catheterization: an updated meta-analysis and trial sequential analysis. Ther Clin Risk Manag2018; 14: 331–340.
25.
LampertiMBodenhamAPittirutiM, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med2012; 38(7): 1105–1117.
26.
IlgenJSMaIWYHatalaR, et al. A systematic review of validity evidence for checklists versus global rating scales in simulation-based assessment. Med Educ2015; 49(2): 161–173.
