Feasibility of a customizable training environment for neurointerventional skills assessment

Nawka, Marie Teresa; Hanning, Uta; Guerreiro, Helena; Flottmann, Fabian; Horn, Noel van; Buhk, Jan‐Hendrik; Fiehler, Jens; Frölich, Andreas

doi:10.1371/journal.pone.0238952

Cited by 7 publications

(6 citation statements)

References 21 publications

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“…Although they had a small sample size, a significant effect was found. Two of the three in vitro studies included medical students as study subjects [ 21 , 22 ], whereas the other two studies compared interventional radiologists [ 19 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies covering the effect of simulator training on AEs in IR were identified in this review. A small analysis of neurointerventional skills in simulator training reported significantly more dangerous manoeuvres by inexperienced operators than experienced ones [ 20 ]. Simulators give the chance to analyse and specifically reduce such dangerous procedures before performing them on patients.…”

Section: Discussionmentioning

confidence: 99%

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Avoiding adverse events in interventional radiology – a systematic review on the instruments

Blum,

Hoffmann

2024

CVIR Endovasc

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Background Avoiding AEs is a pivotal fundament for high patient safety in an efficient interventional radiology (IR) department. Although IR procedures are considered to have a lower risk than their surgical alternatives, they account for one third of all radiological adverse events (AEs) and in general, the number of AEs is increasing. Thus, measures to prevent AEs in IR are of interest. Methods A systematic literature search was conducted via handsearch and Ovid. A structured data extraction was performed with all included studies and their quality of evidence was evaluated. Finally, data were aggregated for further statistical analysis. Results After screening 1,899 records, 25 full-text publications were screened for eligibility. Nine studies were included in the review. Of those, four studies investigated in simulator training, one in team training, three in checklists, and one in team time-out. Eight were monocenter studies, and five were conducted in a non-clinical context. Study quality was low. Aggregation and analysis of data was only possible for the studies about checklists with an overall reduction of the median error per procedure from 0.35 to 0.06, observed in a total of 20,399 and 58,963 procedures, respectively. Conclusion The evidence on the instruments to avoid AEs in IR is low. Further research should be conducted to elaborate the most powerful safety tools to improve patient outcomes in IR by avoiding AEs.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Avoiding adverse events in interventional radiology – a systematic review on the instruments

Blum,

Hoffmann

2024

CVIR Endovasc

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“…A previous report on neurointerventional simulation training showed that the training effects for neurointervention-experienced operators are not as marked when compared to inexperienced operators. 18) In addition, most of the reports focus on the training effects on medical students or residents. From these, it was hypothesized that neurointerventional simulation training for experts was not popular.…”

Section: Discussionmentioning

confidence: 99%

Questionnaire Survey of Neurointerventional Simulation Training in the Japanese Society for Neuroendovascular Therapy

Ebisudani

Sugiu

Murai

et al. 2023

JNET

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Objective: Simulation training has focused on education and practical training. However, the adoption rate of neurointerventional simulation training in Japan is unknown. Therefore, we sent a questionnaire survey form to consulting specialists from the Japanese Society for Neuroendovascular Therapy (JSNET) to clarify the actual simulation training situation and compare the differences between university hospitals and general hospitals in Japan. Methods:The questionnaire survey was conducted in 243 neurosurgical training facilities that had JSNET consulting specialists between May 31, 2021 and July 31, 2021. The questionnaire survey forms were distributed by Google Forms.Results: A total of 162 facilities responded to the survey (response rate: 66.7%; 35.2% from university hospitals and 64.8% from general hospitals). The adoption rate for simulation training was 53.7%, and it was significantly higher in the university hospitals than in the general hospitals (64.9% vs. 47.6%, p = 0.035). On the simulation effectiveness survey, more than 80% of respondents answered that the simulation training was a useful tool for upskill training. The open-ended question on interventional simulation training showed that there are limiting factors such as financial constraints.Additionally, respondents expressed a desire for a standard neurointerventional simulation training and education program. Conclusion:The adoption rate for simulation training was 53.7% in the training facilities of JSNET, and it was higher in the university hospitals than in the general hospitals. Most of the respondents answered that simulation training is an effective tool to improve neurointerventional skills. They also requested the establishment of simulation training programs and simulation tools.

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“…The use of 3D-printed patient-specific models of intracranial aneurysms enable the neurointerventionalist to plan and perform in vitro the endovascular embolization with the possibility to test different strategies with different sizes and landing zones for the embolization devices [13][14][15]. The patient can thus benefit from the increased confidence of the neurointerventionalist who will have already performed the in vitro endovascular intervention and integrated each step.…”

Section: Introductionmentioning

confidence: 99%

Rehearsals using patient-specific 3D-printed aneurysm models for simulation of endovascular embolization of complex intracranial aneurysms: 3D SIM study

Bras¹,

Boustia²,

Janot³

et al. 2023

Journal of Neuroradiology

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Feasibility of a customizable training environment for neurointerventional skills assessment

Cited by 7 publications

References 21 publications

Avoiding adverse events in interventional radiology – a systematic review on the instruments

Avoiding adverse events in interventional radiology – a systematic review on the instruments

Questionnaire Survey of Neurointerventional Simulation Training in the Japanese Society for Neuroendovascular Therapy

Rehearsals using patient-specific 3D-printed aneurysm models for simulation of endovascular embolization of complex intracranial aneurysms: 3D SIM study

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