Virtual reality: emerging role of simulation training in vascular access

Area of Science:

• Medical Simulation
• Patient Safety
• Vascular Access

Background:

• Evolving vascular access technologies necessitate enhanced patient safety measures.
• Simulation is an underutilized yet effective training tool for vascular access procedures.
• End-stage renal disease (ESRD) patients benefit from simulation in creating peritoneal dialysis and hemodialysis access.

Purpose of the Study:

• To highlight the effectiveness of simulation as a training tool for vascular access in ESRD patients.
• To emphasize the integration of crew resource management principles for improved team performance and safety.
• To discuss the implementation of simulation training within institutional culture.

Main Methods:

• Utilizing simulation tools ranging from suture devices to computer-based interventional simulators.
• Implementing crew resource management principles, focusing on both individual and team training.
• Incorporating simulated case learning, root cause analysis, and concept refinement.

Main Results:

• Simulation allows for controlled practice and error correction without patient harm, unlike traditional methods.
• Team training improves interactions between members and systems, leading to enhanced safety.
• Effective human-system interaction requires user-friendly technology, teamwork, and proficient practice before patient use.

Conclusions:

• Simulation is a valuable and safe training method for vascular access in ESRD patients.
• Adopting crew resource management and fostering teamwork are crucial for improving patient safety.
• Institutional culture change is necessary for successful implementation of simulation-based training.