Mastery Learning of Bedside Procedural Skills

Cohen, Elaine; Wayne, Diane B.

doi:10.1007/978-3-030-34811-3_13

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…16,18,19 The standards for competency development for bedside procedures rarely if ever include patient outcomes as validity evidence. 16,[20][21][22][23] Although hospitals must report procedural complication rates such as central line-associated blood stream infections to the Centers for Medicare & Medicaid Services, 24 programs and residents rarely receive feedback or aggregated actionable information on clinical outcomes of their invasive bedside procedures. 25 Few studies track or report non-infection-related problems such as mechanical complications (e.g., arterial puncture), service deficiencies (e.g., pain, hematoma), or waste (e.g., multiple attempts, use of multiple procedure kits).…”

Section: Case Studymentioning

confidence: 99%

A Dynamic Risk Management Approach for Reducing Harm From Invasive Bedside Procedures Performed During Residency

et al. 2021

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Internal medicine (IM) residents frequently perform invasive bedside procedures during residency training. Bedside procedure training in IM programs may compromise patient safety. Current evidence suggests that IM training programs rely heavily on the number of procedures completed during training as a proxy for resident competence instead of using objective postprocedure patient outcomes. The authors posit that the results of procedural training effectiveness should be reframed with outcome metrics rather than process measures alone. This article introduces the as

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Section: Case Studymentioning

confidence: 99%

A Dynamic Risk Management Approach for Reducing Harm From Invasive Bedside Procedures Performed During Residency

et al. 2021

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“…How might this be achieved? We propose a call to action to incorporate this approach into commonly used checklists for procedures, to implement the offering of music as part of standard procedural training for residents ( 27 , 28 ). Examples of ways steps in which periprocedural music might be included in a procedural checklist are: 1) the availability of music and a device to play it on, 2) giving a choice of whether to use (and what type of) music to the patient, 3) the timing of administration—pre-, intra-, or post-procedurally, and 4) the length of administration.…”

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confidence: 99%

“This Won’t Hurt a Bit”: Is There a Role for Music in Bedside Procedures?

Vijay

Hauser

2023

Critical Care Explorations

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Music has played a long and storied role in clinical healing. However, the integration of music into clinical practice has been slow to gain traction, despite a recent meta-analysis demonstrating association of music interventions with clinically meaningful improvements in health-related quality of life. There is growing evidence that music has an active role in reducing patient pain and anxiety as well as affecting physiologic parameters, such as heart rate and blood pressure, in an ICU setting. Past studies have shown that incorporation of music into procedures in the operating room, radiology suites, and catheterization labs has reduced concurrent pharmacologic sedation requirements. In the age of patient-centered personalized medicine, we propose a call to action to implement an easily accessible, attainable checklist item offering a personal choice of music for patients during standardized bedside procedural training, to reduce anxiety, pain, and pharmacologic sedation and potentially improve clinical outcomes.

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