The Use of Tissue Models for Vascular Access Training

Phase I of the Procedural Patient Safety Initiative

Authors

  • Mark J. Ault MD, FACEP,

    1. Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
    2. University of California Los Angeles School of Medicine, Los Angeles, CA, USA.
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  • Bradley T. Rosen MD, MBA,

    1. Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
    2. University of California Los Angeles School of Medicine, Los Angeles, CA, USA.
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  • Brian Ault BS

    1. Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
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  • The authors have no conflicts of interest to declare.

Address correspondence and requests for reprints to Dr. Ault: University of California Los Angeles School of Medicine, 8700 Beverly Blvd., Becker B113, Los Angeles, CA 90048 (e-mail: Mark.Ault@cshs.org).

Abstract

INTRODUCTION: Following the Institute of Medicine report “To Err is Human,” the Agency for Healthcare Research and Quality identified proper central venous catheter (CVC) insertion techniques and wide sterile barriers (WSB) as 2 major quality indicators for patient safety. However, no standard currently exists to teach proper procedural techniques to physicians.

AIM: To determine whether our nonhuman tissue model is an effective tool for teaching physicians proper wide sterile barrier technique, ultrasound guidance for CVC placement, and sharps safety.

PARTICIPANTS: Educational sessions were organized for physicians at Cedars-Sinai Medical Center. Participants had a hands-on opportunity to practice procedural skills using a nonhuman tissue model, under the direct supervision of experienced proceduralists.

PROGRAM EVALUATION: An anonymous survey was distributed to participants both before and after training, measuring their reactions to all aspects of the educational sessions relative to their prior experience level.

DISCUSSION: The sessions were rated highly worthwhile, and statistically significant improvements were seen in comfort levels with ultrasound-guided vascular access and WSB (P<.001). Given the revitalized importance of patient safety and the emphasis on reducing medical errors, further studies on the utility of nonhuman tissue models for procedural training should be enthusiastically pursued.

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