Simulation-based training improves PICC placement


Intravenous literature: Andreatta, P., Chen, Y., Marsh, M. and Cho, K. (2011) Simulation-based training improves applied clinical placement of ultrasound-guided PICCs. Supportive Care in Cancer. 19(4), p.539-43.


PURPOSE: Skilled placement of peripherally inserted central catheters (PICC) has a profound impact on patient well-being and costs of care. The use of ultrasound-guided methods and prescribed training for cannulation skills are evidence-based practice recommendations. The purpose of this study was to compare two methods of PICC instruction on the acquisition of applied skills.

METHODS: Residents were randomly assigned to one of two groups (N=16/16) of this blind-rater study and were trained to perform ultrasound-guided PICC cannulation using either simulation or apprenticeship methods. All residents were assessed placing a PICC in applied clinical patient care.

RESULTS: Residents who completed simulation training had significantly better transfer of skills to applied clinical practice than residents who received apprenticeship training, having better performance ratings on eight of nine procedure-specific task measures (p

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