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Analysis of institutional authors

Diez JAuthorGilsanz FAuthor

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September 20, 2017
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Metodología CUSUM en la curva de aprendizaje de la punción epidural obstétrica en un hospital universitario

Publicated to:Revista Espanola de Anestesiologia y Reanimacion. 57 (1): 11-15 - 2010-01-01 57(1), DOI: 10.1016/s0034-9356(10)70157-2

Authors: Guasch E; Díez J; Gilsanz F

Affiliations

Universidad Autónoma de Madrid - Author

Abstract

Skill acquisition in anesthesiology is subject to a great deal of interindividual variability. Our aim was to develop and test an individualized tool for monitoring acquisition of technical skills based on the cumulative sum (CUSUM) approach. This system objectively assesses whether an individual has acquired a minimum skill level and identifies the moment when the skill has been learned.Nine third-year residents in anesthesiology and postoperative recovery care participated. The residents anonymously recorded their first 100 obstetric epidural analgesia procedures in a database. The data were then analyzed with the CUSUM method. We considered acceptable skill acquisition to be reflected by a first-attempt success rate of 80% and a rate of success with help of 20%.A total of 765 epidural blocks were analyzed, giving a mean (SD) of 84.7 (2.8) procedures per resident (range, 47-100 procedures per resident). Seven residents became competent with the skill after 23 procedures and 2 residents were not successful in learning the skill. At the end of the study, 3 residents had required help with more than 20% of the procedures. Data collection from the trainees seemed to vary, leading to possible under- or overestimation of failures and/or need for help. Accidental dural puncture occurred 6 times (0.78%) and blood vessel puncture 40 times (5.2%).Although some third-year residents reach the targeted rate of success quickly, we believe that close supervision is useful to control progress along the learning curve for individuals who need more help.

Keywords

Quality education

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Revista Espanola de Anestesiologia y Reanimacion, Q3 Agency Scopus (SJR), its regional focus and specialization in Critical Care and Intensive Care Medicine, give it significant recognition in a specific niche of scientific knowledge at an international level.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 4.89, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-19, the following number of citations:

  • Scopus: 8
  • Open Alex: 14

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-19:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 26 (PlumX).
Continuing with the social impact of the work, it is important to emphasize that, due to its content, it can be assigned to the area of interest of ODS 4 - Quality Education, with a probability of 78% according to the mBERT algorithm developed by Aurora University.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Guasch E) and Last Author (GILSANZ RODRIGUEZ, FERNANDO).