Observational Skill-based Clinical Assessment tool for Resuscitation (OSCAR): Development and validation
2011

Development and Validation of the OSCAR Tool for Resuscitation

publication Evidence: high

Author Information

Author(s): Susanna Walker, Brett S., McKay A., Lambden S., Vincent C., Sevdalis N.

Primary Institution: Imperial College London

Hypothesis

The study aimed to develop a tool that is feasible to use and psychometrically sound to assess team behaviours during cardiac arrest resuscitation attempts.

Conclusion

The OSCAR tool is psychometrically robust, scientifically sound, and clinically relevant for assessing non-technical skills in resuscitation teams.

Supporting Evidence

  • OSCAR demonstrated high internal consistency with Cronbach's α ranging from 0.736 to 0.965.
  • Intraclass correlation results ranged from 0.652 to 0.911, indicating good inter-rater reliability.
  • Thirty-nine of fifty-four behaviour exemplars were deemed critically important by resuscitation experts.

Takeaway

The OSCAR tool helps teams improve their communication and teamwork skills during emergencies, making it easier to save lives.

Methodology

The OSCAR tool was developed in three phases: literature review, face and content validation by experts, and reliability assessment using Cronbach's α and intraclass correlation.

Potential Biases

Potential specialty-specific biases were minimized by involving experts from both specialty and non-specialty backgrounds.

Limitations

The study was limited to adult resuscitation and may need further development for pediatric contexts.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.resuscitation.2011.03.009

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