TABLE 2.
Content Validation of ICU Delirium Playbook Quiz (n = 6 Experts)
| Content-Domain | Items Reviewed | n (%) | ||
|---|---|---|---|---|
| Eliminated | Revised | No Edits | ||
| First round validation (39-item quiz) | ||||
| Feature 1: Acute change in mental status | 3 | 0 (0) | 1 (33) | 2 (67) |
| Feature 2: Inattention | 6 | 1 (17)a | 1 (17) | 4 (66) |
| Feature 3: Altered level of consciousness (RASS) | 6 | 0 (0) | 1 (17) | 5 (83) |
| Feature 4: Disorganized thinking | 6 | 1 (17) | 1 (17) | 4 (66) |
| Delirium and the CAM-ICU: Pearls and pitfalls | 3 | 0 (0) | 0 (0) | 3 (100) |
| Performing the CAM-ICU: Examples 1 and 2 | 8 | 0 (0) | 0 (0) | 8 (100) |
| CAM-ICU positive: My patient is delirious, now what? | 7 | 0 (0) | 0 (0) | 7 (100) |
| First round total | 39 | 2 (5) | 4 (10) | 33 (85) |
| Second round validation (four revised and 11 new items)b | ||||
| Feature 1: Acute change in mental status | 5 | 0 (0) | 0 (0) | 5 (100) |
| Feature 2: Inattention | 1 | 0 (0) | 0 (0) | 1 (100) |
| Feature 3: Altered level of consciousness (RASS) | 5 | 0 (0) | 0 (0) | 5 (100) |
| Feature 4: Disorganized thinking | 2 | 0 (0) | 0 (0) | 2 (100) |
| CAM-ICU positive: My Patient is delirious, now what? | 2 | 0 (0) | 0 (0) | 2 (100) |
| Second round total | 15 | 0 (0) | 0 (0) | 15 (100) |
| Final “ICU Delirium Playbook” quiz | 48 | 4 (8)a | 0 (0) | 44 (92) |
CAM-ICU = Confusion Assessment Method for the ICU, RASS = Richmond Agitation-Sedation Scale.
a
Question eliminated based on expert comments rather than relevance or clarity.
b
Zero items required reviewing during this round in the “Delirium and the CAM-ICU: Pearls and Pitfalls” and “Performing the CAM-ICU: Examples 1 and 2.”