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Measuring the interrater reliability...

Crawforth, Karen Lee.

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Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes./
作者:	Crawforth, Karen Lee.
面頁冊數:	152 p.
附註:	Source: Dissertation Abstracts International, Volume: 62-12, Section: B, page: 5626.
Contained By:	Dissertation Abstracts International62-12B.
標題:	Health Sciences, Education. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3037063
ISBN:	049350348X

Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes.
Crawforth, Karen Lee.

Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes. - 152 p.

Source: Dissertation Abstracts International, Volume: 62-12, Section: B, page: 5626.

Thesis (Ph.D.)--Wayne State University, 2001.

The American Association of Nurse Anesthetists Foundation in collaboration with the St. Paul Insurance Companies initiated the study of closed claim files in 1995. The intent of this research is to build a database that will provide a means to evaluate and improve patient safety. This goal will be accomplished through the ongoing identification of negative trends that contribute to anesthesia related adverse events. The knowledge gained through this review will be disseminated to the anesthesia community by means of educational programs and publications.

ISBN: 049350348XSubjects--Topical Terms:

1017921
Health Sciences, Education.

Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes.
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245 1 0 $a Measuring the interrater reliability of a data collection instrument developed to evaluate anesthetic outcomes.
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500 $a Source: Dissertation Abstracts International, Volume: 62-12, Section: B, page: 5626.
500 $a Adviser: Sholomo Sawilowsky.
502 $a Thesis (Ph.D.)--Wayne State University, 2001.
520 $a The American Association of Nurse Anesthetists Foundation in collaboration with the St. Paul Insurance Companies initiated the study of closed claim files in 1995. The intent of this research is to build a database that will provide a means to evaluate and improve patient safety. This goal will be accomplished through the ongoing identification of negative trends that contribute to anesthesia related adverse events. The knowledge gained through this review will be disseminated to the anesthesia community by means of educational programs and publications.
520 $a Subjectivity is an integral part of the process involved in extracting data from claim documents. Therefore, the establishment of interrater agreement is a necessary condition before confidence may be placed in the data. The purpose of this research was to measure the interrater reliability of the instrument developed to extract data from closed claim files. This project utilized the recommendations of related studies in the research design. These suggestions included the use of the original documents in the analysis, the evaluation of multiple items, and the application of generalizability theory to the data.
520 $a The research evaluated the reliability of the eight closed claim team members. These individuals were selected based on criteria that guaranteed a clinically and educationally diverse research team. Twelve closed claim files were selected for the analysis. These files represented a variety of outcomes related to anesthesia practice. The instrument demonstrated an overall reliability of 0.73. The analysis of each item using the intra-class correlation coefficient, proportion of agreement, the kappa statistic, and generalizability theory provided a comprehensive evaluation of scoring patterns.
520 $a The results of this analysis produced specific recommendations that will be used to improve the reliability of the process. The subjective items contain ambiguous language and represent global concepts that cannot accurately be answered with a single question. The decomposition of these questions into specific items that focus on the process and not on the individual will improve the instrument's reliability. A qualitative analysis of the narrative summary may provide information not available with quantitative methods. Involving additional insurance carriers in the project will increase the number of claims available for review. The use of paired reviewers in subsequent interrater reliability studies will also increase the sample size. A recommendation for a future study is a collaborative effort with the American Society of Anesthesiologists based on the mutual goal of improving the quality of care. The data collection process involved in this research will require adjustments as the practice of anesthesia advances. The continued assurance that the information obtained by this study is reliable will be a necessary component to the dynamic process of closed claim data research.
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