@article{ref1,
title="Development and testing of a visual tool for assessing risk of falls",
journal="Quality management in health care",
year="2019",
author="Arihisa, Katsuhiko and Yamamoto, Akihiko and Hayashi, Tatsuhiro and Hayashi, Ayu and Ishizuki, Chinami and MIyaguchi, Hideki",
volume="28",
number="3",
pages="139-146",
abstract="BACKGROUND: To develop a &quot;Time Pressure-Kiken Yochi Training (TP-KYT) system&quot; for measuring risk prediction ability of health care professionals. <br><br>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 &quot;Experts&quot; (34.0 ± 5.6 years old; clinical experience, 9.1 ± 4.8 years), 34 &quot;Competents&quot; (26.8 ± 5.5 years old; clinical experience, 1.1 ± 0.9 years), 34 &quot;Advanced Beginners&quot; (21.9 ± 0.7 years old), and 44 &quot;Novices&quot; (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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1063-8628",
doi="10.1097/QMH.0000000000000213",
url="http://dx.doi.org/10.1097/QMH.0000000000000213"
}