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首页> 外文期刊>Cureus. >Human Factor Errors in the use of the PAWPER Tape Systems: An Analysis of Inter-Rater Reliability
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Human Factor Errors in the use of the PAWPER Tape Systems: An Analysis of Inter-Rater Reliability

机译：使用Pavper磁带系统时的人为因子错误：帧间间可靠性分析

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Background International guidelines have promoted the use of length-based tapes for emergency weight estimation in children. This is primarily because of a perception that more modern methods might require more training than can practically be achieved.?This study aimed to evaluate the inter-rater reliability of novice users of the?PAWPER XL (paediatric advanced weight-prediction in the emergency room) tape as an indicator of the ability to use the device effectively with limited training. Methods This was a secondary analysis of unpublished data from three previous studies. Inter-rater reliability analyses were performed for each study for the accuracy of weight estimations and for the assignment of body habitus score. Inter-rater reliability was analysed using percentage agreement and Cohen’s Kappa for Study 1 and intraclass correlation (ICC) for Study 2 and Study 3. A value of 0.7 was considered to indicate inadequate agreement, 0.7 to 0.89 was considered to indicate good agreement and ≥0.9 was considered to indicate excellent agreement. Main Results A total of 7034 data points were available for analysis in the three studies. In Study 1, the percentage agreement?of an accurate weight estimation in 50 children,?with two raters, was 47/50 (94%) with a Cohen’s Kappa of 0.93 (0.81 - 1.0). In Study 2, the ICC for 6720 habitus score assessments, with 112 raters, was 0.73 (0.68 - 0.80). In Study 3, the ICC for 264 weight estimations (in terms of an accurate weight estimation, with 33 raters) was 0.88 (0.72 - 0.97). Conclusions There was good inter-rater reliability in the assessment of habitus and the accuracy of weight estimation for the PAWPER XL tape in this secondary analysis. The findings suggest that reasonable proficiency with the system can be achieved with minimal training. It is therefore unlikely that systems such as this require too much training to be practical in emergency care.
机译：背景技术国际指南促进了使用基于长度的磁带来用于儿童的紧急体重估计。这主要是因为一种看法，更多的现代方法可能需要更多的培训，而不是几乎可以获得的。目的是评估新手用户的帧间用户的可靠性（急诊室儿科先进的重量预测）胶带作为使用有限训练有效使用该设备的指标。方法这是从先前研究的三个未发表的数据的次要分析。对每项研究进行帧间间可靠性分析，用于对体重估计的准确性和身体栖息地分数的准确性进行。使用百分比协议和科恩的Kappa进行分析帧间的可靠性，用于研究1和脑内相关性（ICC）进行研究2和研究3.＆ 0.7的值表明协议不足，被认为是良好的协议≥0.9被认为表明了很好的协议。主要结果共有7034个数据点可在三项研究中进行分析。在研究1中，百分比协议？50名儿童的准确估计，有两位评估者，为47/50（94％），Cohen的Kappa为0.93（0.81-1.0）。在研究2中，ICC为6720名习惯评分评估，具有112名评分为0.73（0.68 - 0.80）。在研究3中，ICC为264重量估计（就准确的重量估计而言，具有33名评估者）为0.88（0.72-0.97）。结论在习惯性评估中存在良好的帧间间可靠性以及Pawper XL胶带在该二次分析中的重量估计的准确性。研究结果表明，可以通过最小的培训来实现与系统的合理熟练程度。因此，这样的系统不太可能需要太多的训练在紧急护理中实际。

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