An iterative six-stage development process culminating in a Delphi panel produced a validated ANTT wound-dressing observational metric with three phases, 31 steps, 18 errors, and 27 sentinel errors¶
Claim · All claims
Evidence · 1 study · designr3·q2
Currency · newest study 2019 · checked against its sources 2026-11-01 (automated, 1 of 1 entry) · not reviewed by a person · overdue for a recheck since 2022: tool and model accuracy changes quickly
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? Consensus on the metric's phases, steps, errors, and sentinel errors was reached by a 21-member Delphi panel after modification and voting. → Hegarty Josephine 2019
q2 i? The final metric structure comprises three phases, 31 individual steps, 18 errors, and 27 sentinel errors. → Hegarty Josephine 2019
Evidence¶
Hegarty Josephine 2019¶
Hegarty Josephine, Howson Victoria, Wills Teresa, Creedon Sile A., Mc Cluskey Pat, Lane Aoife, Connolly Aine, Walshe Nuala, Noonan Brendan, Guidera Fiona, Gallagher Anthony G, Murphy Siobhan. (2019). Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric. International Wound Journal. https://doi.org/10.1111/iwj.13072
q2 · i? · design · r3
Modified Delphi panel meeting with 21 expert members who evaluated each phase, step, and error individually, voting and revising onscreen until consensus. The panel "consensus was reached for three phases, 31 steps, 18 errors" and 27 sentinel errors, verifying face and content validity.
"After the Delphi panel meeting, consensus was reached for three phases, 31 steps, 18 errors (13 unique errors), and 27 sentinel errors (7 unique sentinel errors) within the observational metric."
Discussion¶
Related Claims¶
- Standardising aseptic technique with the ANTT Clinical Practice Framework increased staff mean compliance with hand hygiene, glove use, key-part protection, and aseptic field management, as reported by Clare and Rowley
- Iterative video-based task analysis of 14 wound-dressing recordings, with repeated independent scoring, produced step and error metrics with inter-rater reliability of at least 0.85 — a narrower finding that bears on this claim
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