Article ; Online: Addressing Inter-Rater Variability in the ASA-PS Classification System.
2019 Volume 185, Issue 5-6, Page(s) e545–e549
Abstract: Introduction: The American Society of Anesthesiologists' Physical Status (ASA-PS) Classification System was established to grade a patient's physical status prior to surgery. The literature shows inconsistencies in the application of the ASA-PS ... ...
| Abstract | Introduction: The American Society of Anesthesiologists' Physical Status (ASA-PS) Classification System was established to grade a patient's physical status prior to surgery. The literature shows inconsistencies in the application of the ASA-PS classification among providers. The many uses of the ASA-PS class require reliable ASA-PS class designations between providers. While much literature illustrates the inconsistency, there is limited research on how to improve inter-rater agreement. Material and methods: Following an educational intervention targeted at medicine providers, a retrospective chart review was completed to determine the long-term impact of an educational intervention on ASA-PS class agreement among providers of different specialties. To assess the overall agreement between the data sets following the intervention, kappa statistics were calculated for the medicine and anesthesia data sets. These values were compared to the kappa statistics from a similar study completed prior to the educational intervention. Results: Overall, the kappa score, or agreement, between medicine and anesthesia providers improved from the range generally accepted to indicate slight agreement to the range indicating moderate agreement. Conclusions: While there was improvement in agreement following an education intervention, the agreement seen was not statistically significant. More research needs to be done to determine how to improve inter-rater reliability of the ASA-PS classification system with a focus on non-anesthesia providers. |
|---|---|
| MeSH term(s) | Anesthesia ; Anesthesiologists ; Anesthesiology ; Humans ; Reproducibility of Results ; Retrospective Studies |
| Language | English |
| Publishing date | 2019-12-24 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 391061-1 |
| ISSN | 1930-613X ; 0026-4075 |
| ISSN (online) | 1930-613X |
| ISSN | 0026-4075 |
| DOI | 10.1093/milmed/usz433 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Un I Zs.546: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.