Using simulation for teaching femoral arterial access: A multicentric collaboration

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dc.contributor.authorGurm, Hitinder S.
dc.contributor.authorSanz Guerrero, Jorge
dc.contributor.authorJohnson, Daniel D.
dc.contributor.authorJensen, Andrea
dc.contributor.authorSeth, Milan
dc.contributor.authorChetcuti, Stanley J.
dc.contributor.authorLalonde, Thomas
dc.contributor.authorGreenbaum, Adam
dc.contributor.authorDixon, Simon R.
dc.contributor.authorShih, Albert
dc.date.accessioned2024-01-10T13:44:07Z
dc.date.available2024-01-10T13:44:07Z
dc.date.issued2016
dc.description.abstractObjectiveTo assess the impact of simulation training on complications associated with femoral arterial access obtained by first year cardiology fellows. Background: Prior studies demonstrate a higher incidence of arterial access related complications among patients undergoing invasive cardiac procedures.
dc.description.abstractMethodsFirst year cardiology fellows at four teaching hospitals in Michigan tracked their femoral access experience and any associated complications between July 2011 and June 2013. Fellows starting their academic training in July 2012 were first trained on a specially developed simulator before starting their rotation in the catheterization laboratory. The primary outcome was access proficiency, defined as five successful femoral access attempts without any complication or need to seek help from a more experienced team member.
dc.description.abstractResultsA total of 1,278 femoral access attempts were made by 21 fellows in 2011-2012 compared with 869 femoral access attempts made by 21 fellows in 2012-2013. There was a lower rate of access related complications in patients undergoing access attempts by first year fellows in year 2 compared with year 1 (2.1% versus 4.5%, P=0.003) . The number of procedures to achieve procedural proficiency was significantly higher in year 1 compared with year 2 (median 20 versus 10, P=0.007).
dc.description.abstractConclusionsIncorporation of simulation in the training of first year fellows was associated with an improvement in proficiency and a clinically meaningful reduction in vascular complications. (C) 2015 Wiley Periodicals, Inc.
dc.description.funderAHRQ
dc.description.funderAGENCY FOR HEALTHCARE RESEARCH AND QUALITY
dc.description.funderAHRQ
dc.fechaingreso.objetodigital04-04-2024
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1002/ccd.26256
dc.identifier.eissn1522-726X
dc.identifier.issn1522-1946
dc.identifier.pubmedidMEDLINE:26489781
dc.identifier.urihttps://doi.org/10.1002/ccd.26256
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78845
dc.identifier.wosidWOS:000371434800008
dc.information.autorucIngeniería;Sanz J;S/I;17088
dc.issue.numero3
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final380
dc.pagina.inicio376
dc.publisherWILEY-BLACKWELL
dc.revistaCATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
dc.rightsacceso restringido
dc.subjectSimulation
dc.subjectMedical education
dc.subjectfemoral access
dc.subjectFellow training
dc.subjectPERCUTANEOUS CORONARY INTERVENTION
dc.subjectCARDIOVASCULAR DATA REGISTRY
dc.subjectEMERGENCY-MEDICINE
dc.subjectLEARNING-CURVE
dc.subjectOUTCOMES
dc.subjectHOSPITALS
dc.subjectSURGERY
dc.subject.ods04 Quality Education
dc.subject.odspa04 Educación y calidad
dc.titleUsing simulation for teaching femoral arterial access: A multicentric collaboration
dc.typeartículo
dc.volumen87
sipa.codpersvinculados17088
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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