Mohammadrasoul Khalkhali, Parsa Zarvandi, Mehrshad Mohammadpour, Seyed Mohsen Kheirkhah Alavi, Parnian Khalkhali, Hassan Farrahi
The anxiety response of patients with severe psychiatric disorders to the recent public health crisis
BMC psychiatry
although ecg important diagnostic tool medical practice competency ecg interpretation considered poor diagnostic inaccuracy involving misinterpretation ecg lead inappropriate medical judgements cause negative clinical outcomes unnecessary medical testing even fatalities despite importance assessing ecg interpretation skills currently established universal standardised assessment tool ecg interpretation current study seeks 1 develop set items ecg questions estimating competency ecg interpretation medical personnel consensus among expert panels following process based randucla appropriateness method ram 2 analyse item parameters multidimensional latent factors test set develop assessment tool study conducted two steps 1 selection question items ecg interpretation assessment expert panels via consensus process following ram 2 crosssectional webbased testing using set ecg questions multidisciplinary panel experts evaluate answers appropriateness select 50 questions next step based data collected predicted sample size 438 test participants recruited physicians nurses medical nursing students healthcare professionals plan statistically analyse item parameters participant performance using multidimensional item response theory additionally attempt detect possible latent factors competency ecg interpretation test set question items ecg interpretation proposed basis extracted parameters protocol study approved institutional review board ehime university graduate school medicine irb number 2209008 obtain informed consent participants findings submitted publication peerreviewed journals