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ED Residents MBP During CVC Placement: Sim Lab Based Training (EM CVC MBP)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00791583
First Posted: November 14, 2008
Last Update Posted: August 23, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Hassan Khouli, St. Luke's-Roosevelt Hospital Center
  Purpose
  1. Baseline performance in maximal barrier precaution technique of Emergency Medicine (EM) residents, certified in CVC placement, is poor
  2. Simulation-based training in maximal barrier precaution technique during central venous catheter (CVC) placement will improve baseline performance of EM residents

Condition
Nosocomial Infections

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Emergency Medicine Residents Performance in Maximum Barrier Precautions During Central Venous Catheter Placement: Effect of Stimulation-based Training

Further study details as provided by Hassan Khouli, St. Luke's-Roosevelt Hospital Center:

Primary Outcome Measures:
  • Primary outcome: Emergency Medicine residents' performance in maximal barrier precaution (MBP) technique during central venous catheter (CVC) placement [ Time Frame: 6 months ]

Enrollment: 76
Study Start Date: May 2008
Study Completion Date: August 2012
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
  Show Detailed Description

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Emergency Medicine Residents
Criteria

Inclusion Criteria:

  • 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.

Exclusion Criteria:

  • Residents who refuse to have their data collected for the sake of this study and later analyzed for publication
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00791583


Locations
United States, New York
St. Luke's Roosevelt Hospital
New York, New York, United States, 10019
Sponsors and Collaborators
St. Luke's-Roosevelt Hospital Center
  More Information

Publications:
McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003 Mar 20;348(12):1123-33. Review.
Eggimann P. Prevention of intravascular catheter infection. Curr Opin Infect Dis. 2007 Aug;20(4):360-9. Review.
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. Review.
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.
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.
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.
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.
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.
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.
Murray D. Clinical simulation: measuring the efficacy of training. Curr Opin Anaesthesiol. 2005 Dec;18(6):645-8.
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.
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. Epub 2007 Feb 15.
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. Erratum in: N Engl J Med. 2007 Jun 21;356(25):2660.

Responsible Party: Hassan Khouli, MD, St. Luke's-Roosevelt Hospital Center
ClinicalTrials.gov Identifier: NCT00791583     History of Changes
Other Study ID Numbers: 08-007
First Submitted: November 12, 2008
First Posted: November 14, 2008
Last Update Posted: August 23, 2012
Last Verified: August 2012

Keywords provided by Hassan Khouli, St. Luke's-Roosevelt Hospital Center:
Emergency Medicine (EM)
Central Venous Catheter (CVC)
Maximal Barrier Precaution (MBP)
Precaution Technique during Central Venous Cathether Placement

Additional relevant MeSH terms:
Cross Infection
Infection
Iatrogenic Disease
Disease Attributes
Pathologic Processes


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