Citation

Arihisa K, Yamamoto A, Hayashi T, Hayashi A, Ishizuki C, MIyaguchi H. Qual. Manag. Health Care 2019; 28(3): 139-146.

Affiliation

Department of Occupational Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Fukuoka, Japan (Mr Arihisa); Department of Occupational Therapy, Osaka College of Medical and Welfare, Osaka, Japan (Messrs Akihiko Yamamoto and Tatsuhiro Hayashi and Ms Ayu Hayashi); and Department of Occupational Therapy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan (Drs Ishizuki and Miyaguchi).

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/QMH.0000000000000213

PMID

31246776

Abstract

BACKGROUND: To develop a "Time Pressure-Kiken Yochi Training (TP-KYT) system" for measuring risk prediction ability of health care professionals.

METHODS: The TP-KYT was developed using responses from 51 experts with at least 5 years of clinical experience (8.7 ± 5.3 years). Participants extracted risk items by scoring 5 illustrations depicting fall-related medical accidents. With 77 "Experts" (34.0 ± 5.6 years old; clinical experience, 9.1 ± 4.8 years), 34 "Competents" (26.8 ± 5.5 years old; clinical experience, 1.1 ± 0.9 years), 34 "Advanced Beginners" (21.9 ± 0.7 years old), and 44 "Novices" (18.7 ± 1.9 years old), TP-KYT was validated using 1-way analysis of variance and Tukey's HSD (honestly significant difference) test. Risk prediction ability was evaluated using receiver operating characteristic curve analysis.

RESULTS: Experts scored significantly higher than others (Competents: P <.05; Advanced Beginners: P = 6.32E-10; and Novices: P = 4.53E-13). Area under the curve for Experts versus Competents was 0.73 and for Competents versus Advanced Beginners was 0.66. Sensitivity and specificity for Expert scores set at 212/213 were 54.5% and 82.4%, respectively, and for Competent scores set at 137/138 were 76.5% and 52.9%, respectively. The TP-KYT scores varied on the basis of the test taker's clinical experience.

CONCLUSIONS: Validity and reliability of the TP-KYT were demonstrated. The TP-KYT can be a useful tool to quantify health professionals' ability to predict patients' fall risk under time pressure.

Language: en