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Valid and Reliable Assessment of Upper Respiratory Tract Specimen Collection Skills during the COVID-19 Pandemic.
Todsen, Tobias; Bohr, Anne; Hovgaard, Lisette Hvid; Eið, Rebekka Consuelo; Benfield, Thomas; Svendsen, Morten B S; Kirkby, Nikolai; Konge, Lars; von Buchwald, Christian; Melchiors, Jacob; Tolsgaard, Martin.
  • Todsen T; Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet-Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  • Bohr A; Copenhagen Academy for Medical Education and Simulation, Capital Region, 2100 Copenhagen, Denmark.
  • Hovgaard LH; Department of Clinical Medicine, University of Copenhagen, 2100 Copenhagen, Denmark.
  • Eið RC; Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet-Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  • Benfield T; Department of Otorhinolaryngology and Maxillofacial Surgery, Zealand University Hospital, 4600 Køge, Denmark.
  • Svendsen MBS; Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet-Copenhagen University Hospital, 2100 Copenhagen, Denmark.
  • Kirkby N; Department of Clinical Medicine, University of Copenhagen, 2100 Copenhagen, Denmark.
  • Konge L; Department of Clinical Medicine, University of Copenhagen, 2100 Copenhagen, Denmark.
  • von Buchwald C; Department of Infectious Diseases, Copenhagen University Hospital, Amager and Hvidovre, 2650 Hvidovre, Denmark.
  • Melchiors J; Copenhagen Academy for Medical Education and Simulation, Capital Region, 2100 Copenhagen, Denmark.
  • Tolsgaard M; Department of Clinical Microbiology, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.
Diagnostics (Basel) ; 11(11)2021 Oct 26.
Article in English | MEDLINE | ID: covidwho-1488509
ABSTRACT
Proper specimen collection is the most important step to ensure accurate testing for the coronavirus disease 2019 (COVID-19) and other infectious diseases. Assessment of healthcare workers' upper respiratory tract specimen collection skills is needed to ensure samples of high-quality clinical specimens for COVID-19 testing. This study explored the validity evidence for a theoretical MCQ-test and checklists developed for nasopharyngeal (NPS) and oropharyngeal (OPS) specimen collection skills assessment. We found good inter-item reliability (Cronbach's alpha = 0.76) for the items of the MCQ-test and high inter-rater reliability using the checklist for the assessment of OPS and NPS skills on 0.86 and 0.87, respectively. The MCQ scores were significantly different between experts (mean 98%) and novices (mean 66%), p < 0.001, and a pass/fail score of 91% was established. We found a significant discrimination between checklist scores of experts (mean 95% score for OPS and 89% for NPS) and novices (mean 50% score for OPS and 36% for NPS), p < 0.001, and a pass/fail score was established of 76% for OPS and 61% for NPS. Further, the results also demonstrated that a group of non-healthcare educated workers can perform upper respiratory tract specimen collection comparably to experts after a short and focused simulation-based training session. This study, therefore, provides validity evidence for the use of a theoretical and practical test for upper respiratory specimens' collection skills that can be used for competency-based training of the workers in the COVID-19 test centers.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11111987

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2021 Document Type: Article Affiliation country: Diagnostics11111987