Examining Clinician Agreement in Assessing Sick Children
Author Information
Author(s): Wagai John, Senga John, Fegan Greg, English Mike
Primary Institution: Kenyan Medical Research Institute (KEMRI)
Hypothesis
Can video recordings of clinical signs help assess agreement among clinicians and health workers in identifying childhood illnesses?
Conclusion
Videos are effective in testing agreement among health workers and experts, particularly for clear clinical signs.
Supporting Evidence
- Experts showed high agreement on clear clinical signs.
- Local health workers recognized signs with high sensitivity and specificity.
- The study demonstrated the potential of video recordings in standardizing clinical assessments.
Takeaway
This study used videos to see if doctors agree on how to identify sick children, and found that they often do when the signs are clear.
Methodology
Experts reviewed 104 videos of clinical signs, and local health workers assessed 31 selected videos for agreement.
Potential Biases
Potential bias from the selection of videos and the expert panel's composition.
Limitations
The study may have high agreement due to the open presentation format, and different experts might classify signs differently.
Participant Demographics
Participants included 20 international experts and 99 local health workers from various clinical backgrounds in Kenya.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website