ED Residents MBP During CVC Placement: Sim Lab Based Training

NCT00791583 | Completed

• 1 other identifier: 08-007
• Study Type: observational
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.Baseline performance in maximal barrier precaution technique of Emergency Medicine (EM) residents, certified in CVC placement, is poor
2. 2.Simulation-based training in maximal barrier precaution technique during central venous catheter (CVC) placement will improve baseline performance of EM residents

Conditions

Nosocomial Infections

Keywords

Emergency Medicine (EM); Central Venous Catheter (CVC); Maximal Barrier Precaution (MBP); Precaution Technique during Central Venous Cathether Placement

Outcome Measures

Primary Outcomes (1)

• Primary outcome: Emergency Medicine residents' performance in maximal barrier precaution (MBP) technique during central venous catheter (CVC) placement

  6 months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Emergency Medicine Residents

You may qualify if:

• Emergency Medicine (EM) residents who are eligible by their residency training program to place a CVC and will be undergoing evaluation and training in MBP according to their department training policy.

You may not qualify if:

• Residents who refuse to have their data collected for the sake of this study and later analyzed for publication

Sponsors & Collaborators

• St. Luke's-Roosevelt Hospital Center: lead

Study Sites (1)

St. Luke's Roosevelt Hospital

New York, New York, 10019, United States

Location

Related Publications (13)

• McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003 Mar 20;348(12):1123-33. doi: 10.1056/NEJMra011883. No abstract available.

  PMID: 12646670 BACKGROUND

• Eggimann P. Prevention of intravascular catheter infection. Curr Opin Infect Dis. 2007 Aug;20(4):360-9. doi: 10.1097/QCO.0b013e32818be72e.

  PMID: 17609594 BACKGROUND

• Posa PJ, Harrison D, Vollman KM. Elimination of central line-associated bloodstream infections: application of the evidence. AACN Adv Crit Care. 2006 Oct-Dec;17(4):446-54; quiz 456. doi: 10.4037/15597768-2006-4009.

  PMID: 17091045 BACKGROUND

• Shannon RP, Patel B, Cummins D, Shannon AH, Ganguli G, Lu Y. Economics of central line--associated bloodstream infections. Am J Med Qual. 2006 Nov-Dec;21(6 Suppl):7S-16S. doi: 10.1177/1062860606294631.

  PMID: 17077414 BACKGROUND

• Bull DA, Neumayer LA, Hunter GC, Sethi GK, McIntyre KE, Bernhard VM, Putnam CW. Improved sterile technique diminishes the incidence of positive line cultures in cardiovascular patients. J Surg Res. 1992 Feb;52(2):106-10. doi: 10.1016/0022-4804(92)90287-a.

  PMID: 1740929 BACKGROUND

• Guzzo JL, Seagull FJ, Bochicchio GV, Sisley A, Mackenzie CF, Dutton RP, Scalea T, Xiao Y. Mentors decrease compliance with best sterile practices during central venous catheter placement in the trauma resuscitation unit. Surg Infect (Larchmt). 2006 Feb;7(1):15-20. doi: 10.1089/sur.2006.7.15.

  PMID: 16509781 BACKGROUND

• Xiao Y, Seagull FJ, Bochicchio GV, Guzzo JL, Dutton RP, Sisley A, Joshi M, Standiford HC, Hebden JN, Mackenzie CF, Scalea TM. Video-based training increases sterile-technique compliance during central venous catheter insertion. Crit Care Med. 2007 May;35(5):1302-6. doi: 10.1097/01.CCM.0000263457.81998.27.

  PMID: 17414726 BACKGROUND

• Wayne DB, Siddall VJ, Butter J, Fudala MJ, Wade LD, Feinglass J, McGaghie WC. A longitudinal study of internal medicine residents' retention of advanced cardiac life support skills. Acad Med. 2006 Oct;81(10 Suppl):S9-S12. doi: 10.1097/00001888-200610001-00004.

  PMID: 17001145 BACKGROUND

• Mayo PH, Hackney JE, Mueck JT, Ribaudo V, Schneider RF. Achieving house staff competence in emergency airway management: results of a teaching program using a computerized patient simulator. Crit Care Med. 2004 Dec;32(12):2422-7. doi: 10.1097/01.ccm.0000147768.42813.a2.

  PMID: 15599146 BACKGROUND

• Murray D. Clinical simulation: measuring the efficacy of training. Curr Opin Anaesthesiol. 2005 Dec;18(6):645-8. doi: 10.1097/01.aco.0000188419.77140.1a.

  PMID: 16534306 BACKGROUND

• Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology. 2006 Aug;105(2):279-85. doi: 10.1097/00000542-200608000-00010.

  PMID: 16871061 BACKGROUND

• Bond WF, Lammers RL, Spillane LL, Smith-Coggins R, Fernandez R, Reznek MA, Vozenilek JA, Gordon JA; Society for Academic Emergency Medicine Simulation Task Force. The use of simulation in emergency medicine: a research agenda. Acad Emerg Med. 2007 Apr;14(4):353-63. doi: 10.1197/j.aem.2006.11.021. Epub 2007 Feb 15.

  PMID: 17303646 BACKGROUND

• Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725-32. doi: 10.1056/NEJMoa061115.

  PMID: 17192537 BACKGROUND

MeSH Terms

Conditions

Cross Infection

Condition Hierarchy (Ancestors)

Infections; Iatrogenic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: November 12, 2008
• First Posted: November 14, 2008
• Study Start: May 1, 2008
• Primary Completion: November 1, 2008
• Study Completion: August 1, 2012
• Last Updated: August 23, 2012

Record last verified: 2012-08

Locations

US (1)