Featured Article Simulation Performance Evaluation: Inter-rater Reliability of the DARE 2 -Patient Safety Rubric Nuala Walshe, MN a, * , Sin  ead O’Brien, MSc b , Irene Hartigan, MSc c , Siobhan Murphy, MSc c , Robert Graham, MA d a Manager, Clinical Skills Simulation Resource Centre, School of Nursing and Midwifery, University College Cork, Cork, Ireland b Clinical Skills Nurse, Clinical Skills Simulation Resource Centre, School of Nursing and Midwifery, University College Cork, Cork, Ireland c College Lecturer, School of Nursing and Midwifery, University College Cork, Cork, Ireland d Consultant Statistician, University College Cork, Ireland KEYWORDS patient safety; deterioration; rubric; inter-rater reliability; performance evaluation; simulation; DARE 2 -patient safety rubric Abstract Background: The DARE 2 -patient safety rubric was developed for the performance evaluation of final year nursing students. The rubric contains four domains of competency: systematic patient assess- ment, clinical response, clinical-psychomotor skills, and communication proficiency. The aim of this research was to investigate the inter-rater reliability of data from the DARE 2 . Method: A nonexperimental quantitative exploratory design was employed. Archived recorded perfor- mances of students (n ¼ 34) were independently evaluated by nurse lecturers who teach and examine in the simulation centre (n ¼ 4). Results: Intraclass correlation coefficients (ICC) were greater than 0.70 for three of the four domains of practice and 0.58 for the fourth (clinical-psychomotor skills). An ICC of 0.75 for the overall rubric score is indicative of excellent reliability. Percentage agreement for the overall rubric was 59%. Conclusion: These results support the inter-rater reliability of data from the DARE - patient safety rubric and highlights the difference between consensus and consistency estimates of inter-rater reliability. Cite this article: Walshe, N., O’Brien, S., Hartigan, I., Murphy, S., & Graham, R. (2014, September). Simulation perfor- mance evaluation: Inter-rater reliability of the DARE 2 -patient safety rubric. Clinical Simulation in Nursing, 10(9), 446-454. http://dx.doi.org/10.1016/j.ecns.2014.06.005. Ó 2014 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved. Nurse educators have an important role in developing nursing competencies through quality methods of teaching and assessing. The Detect Deterioration, Accurate Assessment, Rapid Response, and Effective Escalation (DARE 2 )-patient safety programme is an integral element of a bachelor of science in nursing degree, in one university in Ireland. An experiential teaching and learning pedagogy where problem-based learning and human patient simulation Clinical Simulation in Nursing (2014) 10, 446-454 www.elsevier.com/locate/ecsn * Corresponding author: n.walshe@ucc.ie (N. Walshe). 1876-1399/$ - see front matter Ó 2014 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.ecns.2014.06.005