T-NOTECHS inter-rater reliability varies widely across ED video-review studies, from moderate (ICC 0.48) to excellent (ICC 0.94)¶
Claim · All claims
Evidence · 1 study · reviewr3·q2
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person · recheck by 2026: 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? Reported ICCs for T-NOTECHS in real-life ED resuscitations range from 0.48 (Steinemann) to 0.94 (van Maarseveen), with Bhangu reporting 0.52. → Alexander Emily G 2023
Evidence¶
Alexander Emily G 2023¶
Alexander Emily G, Denny Fraser, Gordon Malcom WG, McKiernan Cieran, Lowe David J. (2023). Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review. BMC Emergency Medicine. https://doi.org/10.1186/s12873-023-00895-7
q2 · i? · review · r3
Narrative synthesis of reliability data across included T-NOTECHS studies; Steinemann reported "an ICC score of 0.48" and van Maarseveen 0.94 (0.87–0.98), which the review characterises as poor versus excellent reliability. Bhangu reported ICC 0.52 without commenting on reliability.
"The T-NOTECHS papers which used ICC were Steinemann et al [23] who had an ICC score of 0.48 for real-life resuscitations and van Maarseveen [20] et al. had an ICC of 0.94 (0.87–0.98)."
Discussion¶
Related Claims¶
- A systematic review of ED resuscitation video review identified four unique NTS assessment tools, with T-NOTECHS used in six of nine studies — a broader claim this one bears on
- TTCA-24 shows excellent inter-rater reliability (ICC 0.78–0.87) but has only one published study in this context and correlates only weakly with T-NOTECHS — related
- Higher T-NOTECHS assessment-and-decision-making scores were associated with ROSC after ED thoracotomy, though the overall association did not reach statistical significance — related
- Video review with T-NOTECHS identified communication as a significantly weaker NTS domain than other domains in trauma resuscitations — related
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