PMID- 24003951
OWN - NLM
STAT- MEDLINE
DCOM- 20140605
LR  - 20211021
IS  - 1545-0066 (Electronic)
IS  - 1090-3127 (Print)
IS  - 1090-3127 (Linking)
VI  - 18
IP  - 1
DP  - 2014 Jan-Mar
TI  - Measuring adverse events in helicopter emergency medical services: establishing 
      content validity.
PG  - 35-45
LID - 10.3109/10903127.2013.818179 [doi]
AB  - INTRODUCTION: We sought to create a valid framework for detecting adverse events 
      (AEs) in the high-risk setting of helicopter emergency medical services (HEMS). 
      METHODS: We assembled a panel of 10 expert clinicians (n = 6 emergency medicine 
      physicians and n = 4 prehospital nurses and flight paramedics) affiliated with a 
      large multistate HEMS organization in the Northeast US. We used a modified Delphi 
      technique to develop a framework for detecting AEs associated with the treatment 
      of critically ill or injured patients. We used a widely applied measure, the 
      content validity index (CVI), to quantify the validity of the framework's 
      content. RESULTS: The expert panel of 10 clinicians reached consensus on a common 
      AE definition and four-step protocol/process for AE detection in HEMS. The 
      consensus-based framework is composed of three main components: (1) a trigger 
      tool, (2) a method for rating proximal cause, and (3) a method for rating AE 
      severity. The CVI findings isolate components of the framework considered content 
      valid. CONCLUSIONS: We demonstrate a standardized process for the development of 
      a content-valid framework for AE detection. The framework is a model for the 
      development of a method for AE identification in other settings, including 
      ground-based EMS.
FAU - Patterson, P Daniel
AU  - Patterson PD
AD  - From the Department of Emergency Medicine, University of Pittsburgh School of 
      Medicine, Pittsburgh, Pennsylvania.
FAU - Lave, Judith R
AU  - Lave JR
FAU - Martin-Gill, Christian
AU  - Martin-Gill C
FAU - Weaver, Matthew D
AU  - Weaver MD
FAU - Wadas, Richard J
AU  - Wadas RJ
FAU - Arnold, Robert M
AU  - Arnold RM
FAU - Roth, Ronald N
AU  - Roth RN
FAU - Mosesso, Vincent N
AU  - Mosesso VN
FAU - Guyette, Francis X
AU  - Guyette FX
FAU - Rittenberger, Jon C
AU  - Rittenberger JC
FAU - Yealy, Donald M
AU  - Yealy DM
LA  - eng
GR  - KL2 TR000146/TR/NCATS NIH HHS/United States
GR  - KL2TR000146/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20130904
PL  - England
TA  - Prehosp Emerg Care
JT  - Prehospital emergency care
JID - 9703530
SB  - IM
MH  - Air Ambulances/*standards
MH  - Delphi Technique
MH  - Humans
MH  - Medical Audit
MH  - Medical Errors/*statistics & numerical data
MH  - *Quality Indicators, Health Care
PMC - PMC4402941
MID - NIHMS584181
EDAT- 2013/09/06 06:00
MHDA- 2014/06/06 06:00
PMCR- 2015/04/20
CRDT- 2013/09/06 06:00
PHST- 2013/09/06 06:00 [entrez]
PHST- 2013/09/06 06:00 [pubmed]
PHST- 2014/06/06 06:00 [medline]
PHST- 2015/04/20 00:00 [pmc-release]
AID - 10.3109/10903127.2013.818179 [doi]
PST - ppublish
SO  - Prehosp Emerg Care. 2014 Jan-Mar;18(1):35-45. doi: 10.3109/10903127.2013.818179. 
      Epub 2013 Sep 4.