Residency

Training for central line catheterization to reduce infections

Residency Program Insider, October 26, 2010

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Catheter-related bloodstream infections (CRBSI) are likely preventable if healthcare providers perform central vein catheterization correctly and use sterile techniques. Medical residents receive training on how to place central lines, but it is unclear what training method yields the best results.

Researchers randomly assigned 24 second- and third-year internal medicine residents to use the traditional apprenticeship model of simulation- and video-based training, as well as 23 residents to video training alone from December 2007 to January 2008. Researchers followed up to examine CRBSI ending in July 2009. They compared residents’ rates of CRBSI with their counterparts in the surgical ICU where no residents received study interventions.

After training, scores for cores in sterile techniques and rates of CRBSI per 1000 catheter-days were 92% for the simulation and video training group and 75% for the video-only training group, indicating that simulation-based training during CVC is superior to traditional or video training, according to researchers.
The findings were published in the August 12 issue of Chest.
 



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