Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications
Abstract Background Central venous catheter placement has been associated with mechanical complications, some of which can be life-threatening. Recent studies have shown that simulation-based education on ultrasound-guided central venous catheter placement improves puncture success rates; however, i...
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BMC
2025-01-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-025-06739-1 |
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| author | Joho Tokumine Tomoko Yorozu Kiyoshi Moriyama Teruko Suzuki Chikako Okada |
| author_facet | Joho Tokumine Tomoko Yorozu Kiyoshi Moriyama Teruko Suzuki Chikako Okada |
| author_sort | Joho Tokumine |
| collection | DOAJ |
| description | Abstract Background Central venous catheter placement has been associated with mechanical complications, some of which can be life-threatening. Recent studies have shown that simulation-based education on ultrasound-guided central venous catheter placement improves puncture success rates; however, its effect on reducing mechanical complications remains unclear. This observational study examined how outcome-based simulation training for ultrasound-guided central venous catheter placement affects the incidence of mechanical complications in a clinical setting. Methods The Safe Central Venous Catheter Placement and Management Committee established a reporting system to monitor central venous catheter placement. In 2016, a skill assessment of ultrasound-guided central venous catheter placement was conducted. Outcome-based simulation training was introduced in 2017. Skills were evaluated using the skill assessment tool developed by the Japanese Society for Medical Simulation. Results After implementing skill assessment and outcome-based simulation training, the mechanical complication rate decreased from 2.2% in 2015 to 1.2% in 2023. Conclusions A recent meta-analysis reported a 2.3% mechanical complication rate during ultrasound-guided central venous catheter placement. In comparison, the 1.2% complication rate at our institution is notably lower. This study suggests that outcome-based simulation training for ultrasound-guided central venous catheter placement may help reduce the incidence of mechanical complications in clinical settings. |
| format | Article |
| id | doaj-art-1aafa8750c2a48ce815e23377ac43710 |
| institution | Kabale University |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj-art-1aafa8750c2a48ce815e23377ac437102025-02-02T12:29:57ZengBMCBMC Medical Education1472-69202025-01-012511810.1186/s12909-025-06739-1Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complicationsJoho Tokumine0Tomoko Yorozu1Kiyoshi Moriyama2Teruko Suzuki3Chikako Okada4Department of Anesthesiology, Kyorin University School of MedicineDepartment of Anesthesiology, Kyorin University School of MedicineDepartment of Anesthesiology, Kyorin University School of MedicineDepartment of Patient Safety Management, Kyorin University School of MedicineDivision of Biological Function Research, Kyorin University Graduate School of MedicineAbstract Background Central venous catheter placement has been associated with mechanical complications, some of which can be life-threatening. Recent studies have shown that simulation-based education on ultrasound-guided central venous catheter placement improves puncture success rates; however, its effect on reducing mechanical complications remains unclear. This observational study examined how outcome-based simulation training for ultrasound-guided central venous catheter placement affects the incidence of mechanical complications in a clinical setting. Methods The Safe Central Venous Catheter Placement and Management Committee established a reporting system to monitor central venous catheter placement. In 2016, a skill assessment of ultrasound-guided central venous catheter placement was conducted. Outcome-based simulation training was introduced in 2017. Skills were evaluated using the skill assessment tool developed by the Japanese Society for Medical Simulation. Results After implementing skill assessment and outcome-based simulation training, the mechanical complication rate decreased from 2.2% in 2015 to 1.2% in 2023. Conclusions A recent meta-analysis reported a 2.3% mechanical complication rate during ultrasound-guided central venous catheter placement. In comparison, the 1.2% complication rate at our institution is notably lower. This study suggests that outcome-based simulation training for ultrasound-guided central venous catheter placement may help reduce the incidence of mechanical complications in clinical settings.https://doi.org/10.1186/s12909-025-06739-1Outcome-based simulation trainingUltrasound-guidedCentral venous catheter placementCentral venous catheterizationMechanical complications |
| spellingShingle | Joho Tokumine Tomoko Yorozu Kiyoshi Moriyama Teruko Suzuki Chikako Okada Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications BMC Medical Education Outcome-based simulation training Ultrasound-guided Central venous catheter placement Central venous catheterization Mechanical complications |
| title | Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications |
| title_full | Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications |
| title_fullStr | Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications |
| title_full_unstemmed | Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications |
| title_short | Outcome-based simulation training for ultrasound-guided central venous catheter placement: clinical impact on preventing mechanical complications |
| title_sort | outcome based simulation training for ultrasound guided central venous catheter placement clinical impact on preventing mechanical complications |
| topic | Outcome-based simulation training Ultrasound-guided Central venous catheter placement Central venous catheterization Mechanical complications |
| url | https://doi.org/10.1186/s12909-025-06739-1 |
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