Central Venous Catheter Insertion Train the Trainer
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Healthy Studies |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | January 2014 |
| End Date: | December 2018 |
Dissemination of a Simulation-based Mastery Learning Curriculum for Central Venous Catheter Insertion at Veterans Affairs Hospitals: A Quantitative Study
The investigators previously successfully implemented a central venous catheter (CVC)
simulation-based mastery learning (SBML) curriculum at Northwestern University. As a result,
trainee skill improved, complications, including central line associated bloodstream
infections (CLABSIs) decreased and the curriculum was proven cost-effective. Therefore the
Veterans Administration Medical Centers (VAMC) decided to implement this training at some of
their sites as a quality improvement project. The investigators will train faculty at these
locations to implement the same curriculum at their individual sites. Outcome data will be
collected to evaluate the outcomes of the quality improvement (QI) project (complications,
infections, skills).
simulation-based mastery learning (SBML) curriculum at Northwestern University. As a result,
trainee skill improved, complications, including central line associated bloodstream
infections (CLABSIs) decreased and the curriculum was proven cost-effective. Therefore the
Veterans Administration Medical Centers (VAMC) decided to implement this training at some of
their sites as a quality improvement project. The investigators will train faculty at these
locations to implement the same curriculum at their individual sites. Outcome data will be
collected to evaluate the outcomes of the quality improvement (QI) project (complications,
infections, skills).
Beginning in 2006, Northwestern University Internal Medicine and Emergency Medicine residents
completed simulation-based mastery learning in central venous catheter (CVC) insertion before
clinical rotations in the Medical Intensive Care Unit (MICU). This comprehensive program in
central line training used repetitive practice and simulation technology to train residents
to mastery standards. This study had important patient safety implications. This program
resulted in improved trainee skill and reduced CVC insertion complications, including a
significant decrease in the rate of central line associated bloodstream infections (CLABSI).
In addition, the investigators showed that the in CVC insertion was highly cost-effective
suggesting that investment in simulation training can produce significant medical care cost
savings.
This curriculum has now been successfully implemented at a few other sites. Due to the
investigators' success, the VA has requested that Medical Error Reduction and Certification,
Inc.(MERCI) along with Northwestern University, implements the curriculum at its sites across
the county as a quality improvement project. Using a train the trainer course in CVC
placement, the investigators are interested in analyzing the data that the VAMC will provide
to MERCI and studying the outcomes.
Four Northwestern faculty completed a CVC insertion Master trainer curriculum. One master
trainer travels to each VA facility in the program to facilitate a two-day train-the-trainer
course on CVC insertion SBML. Each VA facility selects one or two "faculty champions" who
complete CVC insertion SBML course and learn how to teach the curriculum on day 1 and are
observed training and assessing peer healthcare providers at their institution on day 2.
Course materials include standardized videos and lectures, role-playing and practice with
sample learners and CVC insertion assessments. In addition to the onsite master trainer, each
VA facility receives necessary training materials (standardized video lectures, data
collection forms, assessment tools) and equipment (CentralLineMan simulators, ultrasound) to
implement the curriculum at their institution. All participants complete pre and post testing
and a course evaluation questionnaire. Quantitative outcome data on learner skills and CVC
insertion quality measures are collected to measure the overall success of the project.
completed simulation-based mastery learning in central venous catheter (CVC) insertion before
clinical rotations in the Medical Intensive Care Unit (MICU). This comprehensive program in
central line training used repetitive practice and simulation technology to train residents
to mastery standards. This study had important patient safety implications. This program
resulted in improved trainee skill and reduced CVC insertion complications, including a
significant decrease in the rate of central line associated bloodstream infections (CLABSI).
In addition, the investigators showed that the in CVC insertion was highly cost-effective
suggesting that investment in simulation training can produce significant medical care cost
savings.
This curriculum has now been successfully implemented at a few other sites. Due to the
investigators' success, the VA has requested that Medical Error Reduction and Certification,
Inc.(MERCI) along with Northwestern University, implements the curriculum at its sites across
the county as a quality improvement project. Using a train the trainer course in CVC
placement, the investigators are interested in analyzing the data that the VAMC will provide
to MERCI and studying the outcomes.
Four Northwestern faculty completed a CVC insertion Master trainer curriculum. One master
trainer travels to each VA facility in the program to facilitate a two-day train-the-trainer
course on CVC insertion SBML. Each VA facility selects one or two "faculty champions" who
complete CVC insertion SBML course and learn how to teach the curriculum on day 1 and are
observed training and assessing peer healthcare providers at their institution on day 2.
Course materials include standardized videos and lectures, role-playing and practice with
sample learners and CVC insertion assessments. In addition to the onsite master trainer, each
VA facility receives necessary training materials (standardized video lectures, data
collection forms, assessment tools) and equipment (CentralLineMan simulators, ultrasound) to
implement the curriculum at their institution. All participants complete pre and post testing
and a course evaluation questionnaire. Quantitative outcome data on learner skills and CVC
insertion quality measures are collected to measure the overall success of the project.
Inclusion Criteria:
1. Previously (or prospectively) collected de-identified data on trainee skill and
experience
2. Previously (or prospectively) collected de-identified data on patients in the VA ICU
with CVCs
3. Previously (or prospectively) collected de-identified data on mechanical complications
in the ICUs
Exclusion Criteria:
1. Data not de-identified
2. Data on pts on non-ICU units
3. Data on pts without CVCs
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