Performance of Medical Residents in Sterile Techniques During Central Vein Catheterization

Uso de Simuladores para Treinamento de Prevenção de Infecções Relacionadas à Assistência à Saúde

“…Barsuk et al 17 , a despeito da limitação do estudo, demonstraram resultados favoráveis para redução de taxas de infecções de corrente sanguínea relacionadas a cateter venoso central quando realizaram treinamento sistematizado com uso de simulações para internos e residentes de Medicina. Khouli et al 31 , que usaram treinamentos simulados com residentes objetivando reduzir taxas de infecção de corrente sanguínea associadas à inserção de cateteres, obtiveram resultados positivos na redução das taxas.Recentemente, o Departamento de Saúde e Serviço Humano do governo norte-americano disponibilizou, em sua pá-gina oficial, vídeos com simulações de situações relacionadas a temas como: trabalho em equipe, comunicação, higienização de mãos, vacinação contra a gripe e inserção de dispositivos invasivos 32 .…”

Catheter-Related Bloodstream Infections in Critical Care

“…Simulation training, in addition to improving technical skills in catheter insertion, allows the resident and physician to easily comply with guidelines and checklists 95 . This technique has shown a significant decrease in CRBSI ranging from 71% to 84% 96,97 .…”

Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study

“…5 One study demonstrated improved central line placement after simulation training, with successful insertions in 95% of cases for simulation-trained residents versus 81% for the control group. 3 Two studies of simulation training for central line insertion found a reduction in bloodstream infection rates from 3.4 per 1000 catheter-days to 1.0 per 1000 catheterdays 6 and a reduction of 6.47 per 1000 catheter-days to 2.44 per 1000 catheter-days, respectively, resulting in shorter lengths of stay. 6,7 Another study found that simulation-based ACLS education improved quality of care during in-hospital cardiac arrest; 68% of simulationtrained residents compared to 44% of conventionally trained residents demonstrated adherence to American Heart Association (AHA) standards, although there were no differences in patient survival.…”

“…3 Two studies of simulation training for central line insertion found a reduction in bloodstream infection rates from 3.4 per 1000 catheter-days to 1.0 per 1000 catheterdays 6 and a reduction of 6.47 per 1000 catheter-days to 2.44 per 1000 catheter-days, respectively, resulting in shorter lengths of stay. 6,7 Another study found that simulation-based ACLS education improved quality of care during in-hospital cardiac arrest; 68% of simulationtrained residents compared to 44% of conventionally trained residents demonstrated adherence to American Heart Association (AHA) standards, although there were no differences in patient survival. 1 Our aim was to replicate the previously reported ACLS simulation training study to determine whether standardized ACLS simulation training could improve clinical outcomes across multiple hospital sites.…”