Central Venous Catheter Insertion Train the Trainer

NCT02402257 | Completed

• 1 other identifier: STU00089190
• Study Type: observational
• Target: 226
• Locations: 1 country
• Sites: 1

Brief Summary

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).

Conditions

Healthy

Keywords

Central Venous Catheter; Simulation-based Mastery Learning; Medical Education; Patient Outcomes; Bloodstream Infection Due to Central Venous Catheter; Pneumothorax; Inadvertent Arterial Puncture

Outcome Measures

Primary Outcomes (1)

• The effectiveness of simulation based mastery learning for CVC insertion on CLABSIs

  Data from infection control on central line associated bloodstream infections will be reported for all sites each month. The investigators plan to compare the trained ICU's infection rates with other ICUs at other sites in addition to comparing the trained period versus the untrained period while trainees were rotating through the MICU.

  3 years

Secondary Outcomes (2)

• The effectiveness of simulation based mastery learning for CVC insertion on mechanical complications

  3 years

• The effectiveness simulation based mastery learning for CVC insertion at the learner level using simulated checklist data and trainee surveys

  2 years

Study Arms (2)

Traditionally-trained

Patients who undergo CVC procedures by traditionally-trained providers who have not undergone simulation-based mastery learning. This could be retrospective (before the study started) or at a site where the training was not implemented.

CVC Train the Trainer

Patients who undergo CVC procedures by providers who have participated in simulation-based mastery learning.

Behavioral: CVC Train the Trainer

Interventions

CVC Train the Trainer BEHAVIORAL

Trainees receive a simulation-based mastery learning intervention and train-the-trainer program on central venous catheter insertion

CVC Train the Trainer

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

1. Trainees undergoing simulation-based mastery learning for CVC insertion 2. De-identified patient information from patients with a CVC.

You may qualify if:

• Previously (or prospectively) collected de-identified data on trainee skill and experience
• Previously (or prospectively) collected de-identified data on patients in the VA ICU with CVCs
• Previously (or prospectively) collected de-identified data on mechanical complications in the ICUs

You may not qualify if:

• Data not de-identified
• Data on pts on non-ICU units
• Data on pts without CVCs

Sponsors & Collaborators

• Northwestern University: lead
• Medical Error Reduction and Certification, Inc.: collaborator

Study Sites (1)

Northwestern University

Chicago, Illinois, 60611, United States

Location

Related Publications (5)

• Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009 Aug 10;169(15):1420-3. doi: 10.1001/archinternmed.2009.215.

  PMID: 19667306 BACKGROUND

• Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009 Oct;37(10):2697-701.

  PMID: 19885989 BACKGROUND

• Barsuk JH, McGaghie WC, Cohen ER, Balachandran JS, Wayne DB. Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. J Hosp Med. 2009 Sep;4(7):397-403. doi: 10.1002/jhm.468.

  PMID: 19753568 BACKGROUND

• Cohen ER, Feinglass J, Barsuk JH, Barnard C, O'Donnell A, McGaghie WC, Wayne DB. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc. 2010 Apr;5(2):98-102. doi: 10.1097/SIH.0b013e3181bc8304.

  PMID: 20389233 BACKGROUND

• Barsuk JH, Cohen ER, Potts S, Demo H, Gupta S, Feinglass J, McGaghie WC, Wayne DB. Dissemination of a simulation-based mastery learning intervention reduces central line-associated bloodstream infections. BMJ Qual Saf. 2014 Sep;23(9):749-56. doi: 10.1136/bmjqs-2013-002665. Epub 2014 Mar 14.

  PMID: 24632995 BACKGROUND

MeSH Terms

Conditions

Pneumothorax

Condition Hierarchy (Ancestors)

Pleural Diseases; Respiratory Tract Diseases

Study Officials

• Jeffrey H Barsuk, MD, MS

  Northwestern University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Medicine, Director of Simulation and Patient Safety

Study Record Dates

• First Submitted: March 25, 2015
• First Posted: March 30, 2015
• Study Start: January 1, 2014
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2018
• Last Updated: September 6, 2019

Record last verified: 2019-09

Locations

US (1)