“In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.”Eric Hoffer
“In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.”
Short-term and Long-term Impact of the Central Line Workshop on Resident Clinical Performance During Simulated Central Line Placement.
Our paper just published at Simulation in Healthcare Journal. The study demonstrated earlier simulation training offered greatest benefits.
INTRODUCTION: The Central Line Workshop (CLW) was introduced at our institution to better train residents in safe placement of the central venous catheter (CVC). This study sought to determine if immediate performance improvements from the CLW are sustained 3 months after the training for residents with various levels of experience.
METHODS: Twenty-six emergency medicine residents completed the CLW, which includes online modules and experiential sessions in anatomy, ultrasound, sterile technique, and procedural task training. Demonstration of the synthesis of these skills including placement of both internal jugular and subclavian CVCs was assessed using a task trainer. Each resident was also tested approximately 3 months before and 3 months after the CLW. Residents were assessed using a validated CVC proficiency scale.
RESULTS: Residents’ CVC proficiency scores (percentage of items performed correctly during the assessment station) improved after CLW (0.6 vs. 0.93, P < 0.05). At 3 months after CLW testing, there was apparent skill decay from the CLW but overall improvement compared with baseline testing (0.6 vs. 0.8, P < 0.05). There was no significant difference in procedure time after CLW training. The postgraduate year 1 group showed the greatest improvement of CVC skill after CLW training.
CONCLUSIONS: Resident CVC placement performance improved immediately after the CLW. Although performance 3 months after the CLW revealed evidence of skill decay, it was improved when compared with initial baseline assessment. Novice learners had the greatest benefit from the CLW.
Learn from operation research to apply simulation tools for systems and organizational changes in healthcare
Looking forward to learn from #informs2013 to unleashing the promise of #simulation for healthcare transformation though systems modeling & simulation. Society of Simulation in Healthcare, world largest multidisciplinary and multispecialty organization, seeks to improve performance and reduce errors in patient care through the use of various simulation modalities. The main purpose of simulation application in healthcare include: education, assessment, research and healthcare system integration. Recently, we established Healthcare Systems Modeling & Simulation Affinity Group for those who are interested of systems integration.
Our mission : Develop and use modeling and computer simulation resources with a systems engineering-based approach to design and evaluate (system) solutions that will improve patient safety, quality of care, and cost effectiveness in healthcare.
Please Join us in San Francisco, California for the 14th annual International Meeting on Simulation in Healthcare (IMSH).