Prepackaged central line kits reduce procedural mistakes during central line insertion: a randomized controlled prospective trial.
BMC Med Educ
; 13: 60, 2013 Apr 30.
Article
em En
| MEDLINE
| ID: mdl-23631396
ABSTRACT
BACKGROUND:
Central line catheter insertion is a complex procedure with a high cognitive load for novices. Providing a prepackaged all-inclusive kit is a simple measure that may reduce the cognitive load. We assessed whether the use of prepackaged all-inclusive central line insertion kits reduces procedural mistakes during central line catheter insertion by novices.METHODS:
Thirty final year medical students and recently qualified physicians were randomized into two equal groups. One group used a prepackaged all-inclusive kit and the other used a standard kit containing only the central vein catheter and all other separately packaged components provided in a materials cart. The procedure was videotaped and analyzed by two blinded raters using a checklist. Both groups performed central line catheter insertion on a manikin, assisted by nursing students.RESULTS:
The prepackaged kit group outperformed the standard kit group in four of the five quality indicators procedure duration (2626 ± 350 min vs. 3127 ± 557 min, p = .01); major technical mistakes (3.1 ± 1.4 vs. 4.8 ± 2.6, p = .03); minor technical mistakes (5.2 ± 1.7 vs. 8.0 ± 3.2, p = .01); and correct steps (83 ± 5% vs. 75 ± 11%, p = .02). The difference for breaches of aseptic technique (1.2 ± 0.8 vs. 3.0 ± 3.6, p = .06) was not statistically significant.CONCLUSIONS:
Prepackaged all-inclusive kits for novices improved the procedure quality and saved staff time resources in a controlled simulation environment. Future studies are needed to address whether central line kits also improve patient safety in hospital settings.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Erros Médicos
/
Educação Médica
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Cateteres Venosos Centrais
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article