Handheld High Fidelity Simulation Training For IV

CatheterizationDebra L. Weiner, MD, PhD

Boston Children’s Hospital/Harvard Medical School

Mark Ottensmeyer, PhD

Massachusetts General Hospital

INSPIRE @ IMSH 2014: San Francisco, California, USA

International Network for Simulation-based Pediatric Innovation, Research and Education

Simulation For Procedure Training• Low-cost, handheld simulation for training of minimally-invasive procedures

anywhere, anytime, would

–Bring simulation to broader scope of providers

–Provide on-demand training proximate to time needed

• We created handheld haptic simulation IV training device

–Haptic block + phone or tablet

–Didactics, bi-directional interactivity, database backed

• Potential to

–Create paradigm shift in non-patient based procedure

training

–Expand/enhance healthcare access, , quality, safety any

population

International Network for Simulation-based Pediatric Innovation, Research and Education

Background

• P: Residents (+ nurses)

• I: Handheld haptic simulation IV training device

• C: IV training arm

• O: Knowledge/skills performance

Device use, usability

Success rate IV in patients pre/post training

International Network for Simulation-based Pediatric Innovation, Research and Education

PICO Question

International Network for Simulation-based Pediatric Innovation, Research and Education

Approach / Design

• Multicenter prospective

• Participants: residents +/- nurses, 100-200 participants

• Sites: 5-10 pediatric hospitals

• Training/testing: dedicated sessions, ED, inpatient units + self-directed refreshers

• Compare Performance IV arm vs. handheld device

• Knowledge-indications, complications, technique

• Skills-preparation, procedure

• Access Handheld Device Use, Usability

• Participant demographics

• Experience-IV catheterization, simulation, technology enhanced procedures

• Evaluation use, usability, effectiveness platform, content

• Track IV catheterization performance in patients x 6 months

• Number patients IV attempted, percent, characteristics successful/failed attempts

• ALERT Presentation: Jan 25, 2014

• Grant Proposal (if applicable): seeking opportunities

• IRB Submission: May 1, 2014

• Recruitment / Data Collection: AY 2014-2015

• Data Analysis: July 2015-Oct 2015

• Abstract Presentation: Jan 2016

• Manuscript Preparation: Nov 2015-Mar 2016

International Network for Simulation-based Pediatric Innovation, Research and Education

Timeline

1. Study participants?

– Residents ?include nurses, best time year to start?

2. Primary outcome measure?

– Performance IV trainer arm vs. handheld, or success

patient IVs – patient success ideal but ?practical

3. Best measure of knowledge, skills?

– Test, observation pre, post, 1, 3, 6 months?

International Network for Simulation-based Pediatric Innovation, Research and Education

3 Questions to improve study

Name: Deb Weiner

Institution: Boston Children’s Hospital

E-mail: weiner_d@tch.harvard.edu

Phone:617-355-4144

International Network for Simulation-based Pediatric Innovation, Research and Education

Contact Information