PMID- 37979061
OWN - NLM
STAT- MEDLINE
DCOM- 20240423
LR  - 20240423
IS  - 1863-9941 (Electronic)
IS  - 1863-9933 (Linking)
VI  - 50
IP  - 2
DP  - 2024 Apr
TI  - Reliability of the safety threats and adverse events in trauma (STAT) taxonomy 
      using trauma video review.
PG  - 497-504
LID - 10.1007/s00068-023-02381-y [doi]
AB  - PURPOSE: The STAT (Safety Threats and Adverse Events in Trauma) taxonomy was 
      developed through expert consensus, and groups 65 identified trauma resuscitation 
      adverse events (AEs) into nine distinct categories. It provides a framework for 
      standardized analysis of trauma resuscitations and creates a foundation for 
      targeted quality improvement and patient safety initiatives. This study aims to 
      evaluate the reliability of the STAT taxonomy in identifying AEs during 
      video-recorded trauma resuscitations. METHODS: High-definition audiovisual data 
      from 30 trauma resuscitations were reviewed. Videos were assessed and scored by 
      four independent reviewers (two trainees and two staff). The STAT taxonomy was 
      used to identify AEs based on binary responses: yes and no. Inter-rater 
      reliability was calculated using Gwet's AC1. The frequencies of AEs were tallied 
      and reported as counts and percentages. RESULTS: The most common AEs identified 
      in the videos were failure to measure temperature (86.7%) and inadequate personal 
      protective equipment (86.7%), followed by inability to use closed-loop 
      communication (76.7%). The agreement on all AEs between reviewers was 0.94 (95% 
      CI: 0.93-0.95). The Gwet's AC1 agreement across the 9 AE categories was paramedic 
      handover (0.82), airway and breathing (0.99), circulation (0.95), assessment of 
      injuries (0.91), management of injuries (0.96), procedure-related (0.97), patient 
      monitoring and IV access (0.99), disposition (0.98), team communication and 
      dynamics (0.87). CONCLUSION: The STAT taxonomy demonstrated excellent inter-rater 
      reliability between reviewers and can be used to identify AEs in video-recorded 
      trauma resuscitations. These results provide a foundation for adapting video 
      review to objectively quantify and assess AEs in the trauma bay.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
FAU - Nazir, Anisa
AU  - Nazir A
AUID- ORCID: 0000-0002-7871-0753
AD  - Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada. 
      anisa.nazir@mail.utoronto.ca.
AD  - Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada. 
      anisa.nazir@mail.utoronto.ca.
FAU - Baletic, Nemanja
AU  - Baletic N
AD  - Emergency Medicine, USF/HCA Oak Hill Hospital, Brooksville, Florida, USA.
FAU - Dumas, Ryan P
AU  - Dumas RP
AD  - Department of Surgery, Division of Burn, Trauma, Acute and Critical Care Surgery, 
      University of Texas Southwestern Medical Center, Dallas, TX, USA.
FAU - Fitzgerald, Caitlin
AU  - Fitzgerald C
AD  - Department of Surgery, Division of Burn, Trauma, Acute and Critical Care Surgery, 
      University of Texas Southwestern Medical Center, Dallas, TX, USA.
FAU - Xu, Keying
AU  - Xu K
AD  - Applied Health Research Centre (AHRC), Li Ka Shing Knowledge Institute, St. 
      Michael's Hospital, Toronto, Canada.
FAU - McGowan, Melissa
AU  - McGowan M
AD  - Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
FAU - Nolan, Brodie
AU  - Nolan B
AD  - Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
AD  - Division of Emergency Medicine, Department of Medicine, University of Toronto, 
      Toronto, ON, Canada.
LA  - eng
PT  - Journal Article
DEP - 20231118
PL  - Germany
TA  - Eur J Trauma Emerg Surg
JT  - European journal of trauma and emergency surgery : official publication of the 
      European Trauma Society
JID - 101313350
SB  - IM
MH  - Humans
MH  - *Video Recording
MH  - Reproducibility of Results
MH  - *Resuscitation
MH  - *Patient Safety
MH  - *Wounds and Injuries/classification
MH  - Quality Improvement
OTO - NOTNLM
OT  - Inter-rater reliability
OT  - Patient safety
OT  - Trauma
OT  - Trauma video review
OT  - Validity
EDAT- 2023/11/18 12:42
MHDA- 2024/04/23 15:49
CRDT- 2023/11/18 11:15
PHST- 2023/06/09 00:00 [received]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2024/04/23 15:49 [medline]
PHST- 2023/11/18 12:42 [pubmed]
PHST- 2023/11/18 11:15 [entrez]
AID - 10.1007/s00068-023-02381-y [pii]
AID - 10.1007/s00068-023-02381-y [doi]
PST - ppublish
SO  - Eur J Trauma Emerg Surg. 2024 Apr;50(2):497-504. doi: 10.1007/s00068-023-02381-y. 
      Epub 2023 Nov 18.