Assessment of electrocardiogram interpretation competency among healthcare professionals and students of Ardabil University of Medical Sciences: a multidisciplinary study

Amini, Keyvan; Mirzaei, Alireza; Hosseini, Mirtohid; Zandian, Hamed; Azizpour, Islam; Haghi, Yagoob

doi:10.1186/s12909-022-03518-0

Cited by 13 publications

(14 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings almost mirrored the study of Vishnevsky et al [ 10 ], where the overall competency mean score was 3.23 (SD 1.81) out of 8 points, suggesting a low level of competency. This corroborates the study of Amini et al [ 12 ], with a mean competency score of 5.13 (SD 2.25) out of 10 points. Surprisingly, a study conducted by Oluga [ 15 ] showed the least prevalence of low ECG skills competency, as only 2.8% of the medical students were able to interpret correctly at least 50% or more of the 22 ECG cases, adding that the medical students in University Nairobi have suboptimal competency levels in ECG interpretation skills.…”

Section: Discussionsupporting

confidence: 92%

“…Moreover, regarding the details of competency in interpreting each ECG strip, many of our subjects were able to correctly interpret ECG strips about anterior MI (69.3%), ventricular tachycardia (65.6%) and normal ECG (60.2%), which is similar to the results of Vishnevsky et al [ 10 ] where many of their students were able to interpret anterior MI (81%), ventricular tachycardia (54%), and normal ECG (65%). On the other hand, in Iran [ 12 ], only a minority of students were able to identify normal sinus rhythm (36.2%) and acute myocardial infarction (22.3%).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, health professionals and students who deal with patients must be capable of receiving and interpreting ECGs. If they are able to independently read a 12-lead ECG, they can anticipate any emergency treatment and offer the required interventions [ 12 ]. At King Faisal University, the academic department takes note of this significant issue and works to address it by implementing specific plans.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Medical Students' Competency and Confidence in Interpreting Electrocardiograms at King Faisal University, Al-Ahsa

Elsheikh,

Alkhteeb,

Alamer

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction Electrocardiography is a crucial emergency tool in the pre-hospital situation. It is a useful non-invasive diagnostic technique for quickly identifying various heart disorders. The clinical value of the electrocardiogram (ECG) depends on the clinician's ability to interpret the result of the ECG accurately. Aims This study aims to assess the competency as well as the confidence in the interpretation of ECG among medical students at King Faisal University, Al Ahsa, Saudi Arabia. Methods This cross-sectional study was conducted among medical students enrolled at King Faisal University. Four hundred and ten (410) medical students from all five years completed an electronic self-administered pre-validated questionnaire. The questionnaire includes basic demographic data and ECG strips to assess medical students' competency and confidence levels in interpreting each case. Results More than half of the medical students were considered to have low competency (56.1%) and confidence (59%) levels. Increased competency and confidence scores were associated with fifth-year medical students and those who learned more about ECG interpretation through teaching during clinical rotations. The majority of medical students correctly interpreted anterior MI (69.3%), ventricular tachycardia (65.6%), and supraventricular tachycardia (61.2%). On the other hand, most students were unable to correctly identify pacemaker ECG (19.8%), long QT (21.2%) and left bundle branch block (33.4%). Conclusion Medical students' competency and confidence in ECG interpretation seems to be lacking. Fifth-year medical students who learned more ECG skills through teaching during clinical rotations tended to be more competent and confident with their ECG interpretation skills.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medical Students' Competency and Confidence in Interpreting Electrocardiograms at King Faisal University, Al-Ahsa

Elsheikh,

Alkhteeb,

Alamer

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…The electrocardiogram (ECG) is considered an important assessment tool, and accurate clinical judgment is directly related to the correct interpretation of the ECG [ 52 ]. In a study by Amini et al in Iran, ECG interpretation skills of medical staff and students are low [ 53 ]. Research shows that a structured curriculum can improve nursing students’ ECG interpretation knowledge [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Strategies to prevent medical errors by nursing interns: a qualitative content analysis

Heydarikhayat,

Ghanbarzehi,

Sabagh

2024

BMC Nurs

View full text Add to dashboard Cite

Background Nursing interns often face the serious challenges and stress of clinical training. Identifying effective strategies in reducing medical errors can improve student performance and decrease patient risk and injury from errors. The purpose of this study was to identify strategies to prevent medical errors by nursing interns in Medical Universities in Sistan and Baluchistan, Southeast of Iran. Methods This is a qualitative study using a content analysis approach. Purposive sampling was used. The study was conducted in 3 medical universities. Ten nursing interns participated in this study. Open-ended, semi-structured, and face-to-face, interviews were used to explore the experience of nursing interns about strategies to prevent medical errors during their internship. Results Findings include 20 subcategories, 6 categories and one theme. The main theme is “strategies to prevent medical errors during internship”. Six categories included “strategies to prevent medical errors during internship”. These included “Professional acceptance and support”, “Revision of the implementation of the educational curriculum”, “Retraining courses for challenging skills”, ”Creating learning opportunities” “Professionalization”, and “Facilities and requirements”. Conclusions Preventing medical errors requires different strategies before and during nursing internship. Error prevention strategies include retraining and preparatory courses for challenging areas, evaluation of students’ performance, and accepting students as members of the health care team, respecting and supporting them and protecting their rights. Learning from medical errors, analysis and reflection on errors should be part of the curriculum during the internship.

show abstract

“…Our study showed poor performance of the medical interns in ECG interpretation, which is compatible with the results of a previous study in Iran on the ECG interpretation competency of healthcare providers and students. That study reported low ECG interpretation competency, with an average score of 5.3 ± 2.2 and a top score of 10 [ 15 ]. Similarly, Jablonover et al found the suboptimal performance of graduating medical students in ECG interpretation, with only eight (37%) of 22 key ECGs correctly identified [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Electrocardiogram Interpretation Competency of Medical Interns in Saudi Arabia: A Cross-Sectional Study

Mousa¹,

Alhubail²,

Almulhim³

et al. 2023

Cureus

View full text Add to dashboard Cite

To determine the competence of medical interns in Saudi Arabia in interpreting common ECG abnormalities, explore limitations, and facilitate solutions to the development of ECG interpretation skills in Saudi Arabia. MethodsThis cross-sectional study was conducted from 11 June 2022 to 3 November 2022 using the convenience stratified sampling technique among 373 medical interns (54.4% male and 45.6% female) in 15 medical colleges within Saudi Arabia. ResultsAlmost all (91.7%) of the participants recognized the basic ECG elements, as they correctly identified normal ECG patterns. The most well-understood ECG pathologies were ventricular fibrillation, atrial fibrillation, and acute myocardial infarction, which were accurately interpreted by 69.2%, 67.8%, and 61.9% of the participants, respectively. The least understood ECG result was a pathological Q wave, which only 20.9% recognized. Most (63.5%) participants attributed their challenges in ECG interpretation to their inadequate training in college, and 57.4% of them stated that practical case-based training could best facilitate the improvement of their skills in ECG interpretation. ConclusionMost of the participants showed unsatisfactory performance in ECG interpretation. Despite their completion of advanced cardiac life support courses, their overall performance did not improve significantly. Most of them believed that their colleges did not adequately train them to read ECGs. Thus, a majority think case-based training is a key strategy for improving their ECG interpretation skills.

show abstract

Assessment of electrocardiogram interpretation competency among healthcare professionals and students of Ardabil University of Medical Sciences: a multidisciplinary study

Cited by 13 publications

References 32 publications

Medical Students' Competency and Confidence in Interpreting Electrocardiograms at King Faisal University, Al-Ahsa

Medical Students' Competency and Confidence in Interpreting Electrocardiograms at King Faisal University, Al-Ahsa

Strategies to prevent medical errors by nursing interns: a qualitative content analysis

Electrocardiogram Interpretation Competency of Medical Interns in Saudi Arabia: A Cross-Sectional Study

Contact Info

Product

Resources

About