BACKGROUND: Simulation-based education improves procedural competence in central venous catheter (CVC) insertion. The effect of simulation-based education in CVC insertion on the incidence of catheter-related bloodstream infection (CRBSI) is unknown. The aim of this study was to determine if simulation-based training in CVC insertion reduces CRBSI. METHODS: This was an observational education cohort study set in an adult intensive care unit (ICU) in an urban teaching hospital. Ninety-two internal medicine and emergency medicine residents completed a simulation-based mastery learning program in CVC insertion skills. Rates of CRBSI from CVCs inserted by residents in the ICU before and after the simulation-based educational intervention were compared over a 32-month period. RESULTS: There were fewer CRBSIs after the simulator-trained residents entered the intervention ICU (0.50 infections per 1000 catheter-days) compared with both the same unit prior to the intervention (3.20 per 1000 catheter-days) (P = .001) and with another ICU in the same hospital throughout the study period (5.03 per 1000 catheter-days) (P = .001). CONCLUSIONS: An educational intervention in CVC insertion significantly improved patient outcomes. Simulation-based education is a valuable adjunct in residency education.
BACKGROUND: Simulation-based education improves procedural competence in central venous catheter (CVC) insertion. The effect of simulation-based education in CVC insertion on the incidence of catheter-related bloodstream infection (CRBSI) is unknown. The aim of this study was to determine if simulation-based training in CVC insertion reduces CRBSI. METHODS: This was an observational education cohort study set in an adult intensive care unit (ICU) in an urban teaching hospital. Ninety-two internal medicine and emergency medicine residents completed a simulation-based mastery learning program in CVC insertion skills. Rates of CRBSI from CVCs inserted by residents in the ICU before and after the simulation-based educational intervention were compared over a 32-month period. RESULTS: There were fewer CRBSIs after the simulator-trained residents entered the intervention ICU (0.50 infections per 1000 catheter-days) compared with both the same unit prior to the intervention (3.20 per 1000 catheter-days) (P = .001) and with another ICU in the same hospital throughout the study period (5.03 per 1000 catheter-days) (P = .001). CONCLUSIONS: An educational intervention in CVC insertion significantly improved patient outcomes. Simulation-based education is a valuable adjunct in residency education.
Authors: V D Rosenthal; B Ramachandran; W Villamil-Gómez; A Armas-Ruiz; J A Navoa-Ng; L Matta-Cortés; M Pawar; A Nevzat-Yalcin; M Rodríguez-Ferrer; R D Yıldızdaş; A Menco; R Campuzano; V D Villanueva; L F Rendon-Campo; A Gupta; O Turhan; N Barahona-Guzmán; O O Horoz; P Arrieta; J M Brito; M C V Tolentino; Y Astudillo; N Saini; N Gunay; G Sarmiento-Villa; E Gumus; A Lagares-Guzmán; O Dursun Journal: Infection Date: 2012-02-28 Impact factor: 3.553
Authors: Jeffrey H Barsuk; Elaine R Cohen; Timothy Caprio; William C McGaghie; Tanya Simuni; Diane B Wayne Journal: Neurology Date: 2012-06-06 Impact factor: 9.910
Authors: Riley Hoyer; Russel Means; Jeffrey Robertson; Douglas Rappaport; Charles Schmier; Travis Jones; Lori Ann Stolz; Stephen Jerome Kaplan; William Joaquin Adamas-Rappaport; Richard Amini Journal: Intern Emerg Med Date: 2015-08-15 Impact factor: 3.397
Authors: Rory F McQuillan; Edward Clark; Alireza Zahirieh; Elaine R Cohen; James J Paparello; Diane B Wayne; Jeffrey H Barsuk Journal: Clin J Am Soc Nephrol Date: 2015-09-25 Impact factor: 8.237
Authors: Benjamin D Singer; Thomas C Corbridge; Clara J Schroedl; Jane E Wilcox; Elaine R Cohen; William C McGaghie; Diane B Wayne Journal: Simul Healthc Date: 2013-04 Impact factor: 1.929