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Table 2 Steps to develop summative assessment

From: Analyses of inter-rater reliability between professionals, medical students and trained school children as assessors of basic life support skills

Formative assessment

Steps to develop summative assessment

Summative assessment

 

Steps to reduce construct underrepresentation

Steps to reduce construct irrelevant variance

 

Initial items

Outcome relevant?

Item part of other item scoring

Likley to be assessed reliably?

Item only testing knowledge and skills?

Relevant items

Specified dimension of performance

Speaks to the victim and shakes his shoulders

Yes

No

Yes

Yes

speaks to the victim and shakes his shoulders

Calls for help

Yes

No

Yes

No

 

Checks if the victim is breathing normally

Yes

No

Yes

Yes

checks if the victim is breathing normally

opens airway and comes close

Calls or sends to call 112

Yes

No

Yes

Yes

Calls or sends to call 112

Starts chest-compression as soon as possible

Yes

No

Yes

Yes

Starts chest-compression as soon as possible

Within the first 30 s

Has the right compression point

Yes

No

Yes

Yes, with limitations

Has the right compression point

Center of the chest

Has the right position

Yes

Yes (compr.depth)

    

Has the right compression depth

Yes

No

Yes

Yes

Has the right compression depth

5–6 cm depth, Mini-Anne clicking min. 4 of 5 compr.

Releases all the pressure from the chest

Yes

Yes (compr.depth)

    

Compresses with a frequency of 100–120_1

Yes

No

Yes

Yes

Compresses with a frequency of 100–120_1

Tolerance-rate: 95–125_1

Ratio of chest-compression/breaths 30: 2

Questionable

     

Gives effective breaths to rise the chest

Questionable

     

Sends to go for AED and switches on AED

Yes

No

Yes

No

  

Pads are attached correctly

Yes

No

Yes

No

  

Ensures continuous effective chest-compr

Yes

No

Yes

Yes

Ensures continuous effective chest-compr.

No interruption of more than 10 s