Delphi Method Validation of a Procedural Performance Checklist for Insertion of an Ultrasound-Guided Internal Jugular Central Line

Am J Med Qual. Jan-Feb 2016;31(1):81-5. doi: 10.1177/1062860614549762. Epub 2014 Sep 10.


Placement of ultrasound-guided central lines is a critical skill for physicians in several specialties. Improving the quality of care delivered surrounding this procedure demands rigorous measurement of competency, and validated tools to assess performance are essential. Using the iterative, modified Delphi technique and experts in multiple disciplines across the United States, the study team created a 30-item checklist designed to assess competency in the placement of ultrasound-guided internal jugular central lines. Cronbach α was .94, indicating an excellent degree of internal consistency. Further validation of this checklist will require its implementation in simulated and clinical environments.

Keywords: Delphi method; central venous catheter; procedural checklist; ultrasound-guided procedure.

MeSH terms

  • Central Venous Catheters / standards*
  • Checklist / standards*
  • Clinical Competence
  • Delphi Technique*
  • Humans
  • Quality Improvement / organization & administration*
  • Quality Improvement / standards
  • Quality of Health Care / organization & administration
  • Ultrasonography, Interventional / standards*
  • United States