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Value Analysis of Central Line Simulation-Based Education.

Nicholas J Iglesias1, Taylor P Williams1, Clifford L Snyder1

  • 1Department of Surgery, 12338University of Texas Medical Branch, TX, USA.

The American Surgeon
|April 20, 2021
PubMed
Summary
This summary is machine-generated.

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Central line-associated bloodstream infections (CLABSIs) education via simulation lacks value analysis. A proposed cost reporting standard is needed to evaluate the true impact of simulation-based education (SBE) on CLABSIs.

Area of Science:

  • Healthcare education
  • Patient safety
  • Medical simulation

Background:

  • Central line-associated bloodstream infections (CLABSIs) are significant preventable patient safety risks and a financial burden.
  • Current central line simulation-based education (SBE) research lacks standardized value analysis.
  • Existing SBE efforts show wide variability in methodology and reporting.

Purpose of the Study:

  • To conduct a value analysis of published central line SBE.
  • To develop a refined methodology for studying central line SBE.
  • To address the lack of value propositions in current literature.

Main Methods:

  • Systematic database search of PubMed Central and CINAHL for cost and CLABSI-related articles.
  • Qualitative synthesis of articles mentioning central line simulation.
Keywords:
central linecostquality improvementsimulationvalue

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  • Analysis based on infection rates, simulation costs, SBE design, and learner outcomes.

    • Main Results:

    • 23 articles were analyzed from 215 identified.
    • 10 articles (43.48%) discussed simulation costs with inconsistent reporting.
    • Only 1 article addressed the comprehensive cost and longitudinal effect on CLABSIs.

    Conclusions:

    • Current literature on central line SBE lacks robust value propositions.
    • There is a need for value-based data to assess the effectiveness of SBE.
    • A standardized cost reporting framework is proposed for future central line SBE studies.