Anesthesiology Collaboration Project --- Watkins, Scott


Background Information

  • PI: Watkins, Scott
  • Date: 02/08/2013
  • Title: Emergency Checklist Cards for Intraoperative Pediatric Critical Events: Development and Evaluation Using High Fidelity Simulation.

Project History (Chronological Order)

  • 02/08/2013: Meeting PI to discuss the study design and analysis plan, received articles gawande_NEJM_Supplementary_Appendix.pdf, Simulation-Based_Trial_of_Surgical-Crisis.pdf, 2.23.13..odt and protocol 2.15.Study.protocol.doc
  • 02/26/2013: PI requested power analysis.
  • 05/23/2013: PI requested a power analysis for checklist simulation study.
  • 05/28/2013: latest version for APSF grant submission received.
  • 06/01/2013: simulation based power analysis and calculation performed and sent for review.
  • 06/04/2013: report sent to PI to include within the proposal.
  • 06/05/2013: additional scenario added in the simulation, performed.
  • 06/11/2013: statistical analysis plan and power analysis results drafted and sent to PI.
  • 02/28/2014: data received for checklist simulation study.
  • 03/05/2014: data cleaning and management.
  • 03/12/2014: data discuss data issues. questions sent to PI.
  • 03/13/2014: analysis plan proposed to PI after inspecting and manipulating the data.
  • 04/03/2014: analysis performed and narrative describing the results added, sent to PI.
  • 04/08/2014: analysis of survey data performed and prepared for survey abstract submission.
  • 04/16/2014: analysis plan modified. data cleaning performed.
  • 05/06/2014: data cleaning and management done, ready for analysis.
  • 06/11/2014: update sent to PI, analysis performed.
  • 06/12/2014: data errors identified. data needs further inspection.
  • 06/18/2014: analysis results updated using correct version of data, sent to PI.
  • 06/18/2014: data discrepancies identified, need PI's input on it.
  • 07/01/2014: meeting with PI to look through results, additional variables and goals added. key items for analysis received from PI.
  • 07/07/2014: new correction for data discrepancies received form PI. merged to the original file.
  • 07/24/2014: report sent to PI.
  • 07/28/2014: after reviewing the results, decided to do the additional analysis:
- for three-group analyses (IIT and as-treated), want confidence intervals for the difference between paper and electronic (contrasts).
- for scenario specific events (and for common scenario events), compare event completion (yes/no) in addition time to event completion (worried about informative missingness)
- rank based agreement (ICC on rank orders)
- agreement statistics for scenario specific times and event indicators
- assess the degree/source of measurement error/variance between raters. contributors to the disagreement between raters, scenario? rater? trainee level...
  • 08/12/2014: the remaining analysis:
- events common to all scenarios (correct diagnosis, calling for help and notifying surgeon), could we compare event completion (yes/no) in addition time to event completion (worried about informative missingness)
- agreement statistics for scenario specific times and event indicators
- assess the degree/source of measurement error/variance between raters. contributors to the disagreement between raters, scenario? rater? trainee level...
Please note: analysis of event indicator and agreement of event indicators only performed for events with variability (i.e., we did not analyze event with extremely high completion rate of 95%+ due to the small effective size.

  • 08/21/2014: the remaining analysis:
- assess the degree/source of measurement error/variance between raters. contributors to the disagreement between raters, scenario? rater? trainee level...
Need reference reading.
  • 09/02/2014: meeting with PI went over results, and will create a table to show task completion rate and adjusted ORs (using generalized linear mixed effects model)
  • 09/08/2014: results added to the report and sent for review.
  • 10/02/2014: circulation of survey paper
  • 10/06/2014: circulation of ped simulation paper: adjusted ORs were re calulcated using logistic regression + robust variance-covariance estimates.
  • 10/15/2014: survey paper edits.
  • 10/15/2014: ped simulation paper: need add a new outcome for analysis, time to checklist used (scenario-common).

Topic attachments
I Attachment Action Size Date Who Comment
2.15.Study.protocol.docdoc 2.15.Study.protocol.doc manage 122.0 K 28 Feb 2013 - 17:40 XueHan  
2.23.13..odtodt 2.23.13..odt manage 24.1 K 28 Feb 2013 - 17:39 XueHan  
Simulation-Based_Trial_of_Surgical-Crisis.pdfpdf Simulation-Based_Trial_of_Surgical-Crisis.pdf manage 457.4 K 28 Feb 2013 - 17:38 XueHan  
gawande_NEJM_Supplementary_Appendix.pdfpdf gawande_NEJM_Supplementary_Appendix.pdf manage 825.5 K 28 Feb 2013 - 17:37 XueHan  
Topic revision: r5 - 21 Oct 2014, YapingShi
 

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