Use of simulation-based education to reduce catheter-related bloodstream infections. Export

@article{citeulike:5971708, abstract = {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.}, author = {Barsuk, Jeffrey H. and Cohen, Elaine R. and Feinglass, Joe and McGaghie, William C. and Wayne, Diane B.}, citeulike-article-id = {5971708}, citeulike-linkout-0 = {http://dx.doi.org/10.1001/archinternmed.2009.215}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/19667306}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=19667306}, day = {10}, doi = {10.1001/archinternmed.2009.215}, issn = {1538-3679}, journal = {Archives of internal medicine}, keywords = {central, education, infection, line, outcome, placment, resident, simulation, training}, month = {August}, number = {15}, pages = {1420--1423}, posted-at = {2009-10-19 18:40:37}, priority = {2}, title = {Use of simulation-based education to reduce catheter-related bloodstream infections.}, url = {http://dx.doi.org/10.1001/archinternmed.2009.215}, volume = {169}, year = {2009} }

TY - JOUR ID - citeulike:5971708 L3 - citeulike-article-id:5971708 N2 - 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. IS - 15 JF - Archives of internal medicine SN - 1538-3679 EP - 1423 TI - Use of simulation-based education to reduce catheter-related bloodstream infections. VL - 169 SP - 1420 KW - central KW - education KW - infection KW - line KW - outcome KW - placment KW - resident KW - simulation KW - training AU - Barsuk, Jeffrey AU - Cohen, Elaine AU - Feinglass, Joe AU - McGaghie, William AU - Wayne, Diane PY - 2009/08/10/ UR - http://dx.doi.org/10.1001/archinternmed.2009.215 ER -