Standardization of Internal Jugular Central Venous Catheter Insertion Between Multiple Specialties with Simulation

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dc.contributor.advisorReed, W. Garyen
dc.contributor.committeeMemberSulistio, Melanieen
dc.contributor.committeeMemberPhelps, Eleanoren
dc.creatorWeia, Benjamin Chun-Bangen
dc.date.accessioned2020-06-02T21:22:10Z
dc.date.available2020-06-02T21:22:10Z
dc.date.created2018-06
dc.date.issued2018-03-29
dc.date.submittedJune 2018
dc.date.updated2020-06-02T21:22:10Z
dc.descriptionThe general metadata -- e.g., title, author, abstract, subject headings, etc. -- is publicly available, but access to the submitted files is restricted to UT Southwestern campus access and/or authorized UT Southwestern users.en
dc.description.abstractBACKGROUND: Insertion of central venous catheters is a medical procedure with the risk of adverse outcomes. Between the different specialties at the University of Texas Southwestern Medical Center (UT Southwestern), there is a wide variation in the training and performance of the procedure. At other medical institutions, standardization of central venous catheter insertion decreased the frequency of adverse outcomes including failure, infection, pneumothorax, and arterial puncture. SPECIFIC AIM: Increase compliance with a standardized method for central venous catheter insertion among resident physicians in six departments at UT Southwestern to 95% as measured by a checklist by July 2019. METHODS: Consensus was achieved on a standardized method between six departments by a modified Delphi method. A training curriculum was created for the standardized method by following the Define-Measure-Analyze-Design-Validate (DMADV) framework. In designing the curriculum, strategies were utilized from implementation science, mastery-based learning, and simulation education. During the design phase, the curriculum was improved through two Plan-Do-Study-Act cycles with two pilot training sessions. RESULTS: Created a checklist for measuring compliance to the standardized method and a written exam for measuring knowledge required for the method. Designed multiple manuals and a video for learners and educators to standardize the training. CONCLUSION: A standardized method for inserting central venous catheters has been developed with consensus between multiple departments in a large academic institution. To introduce compliance with the method, a simulation-based training curriculum has been implemented. These achievements allow for the following phase of training resident physicians at UT Southwestern and measuring for an increase in compliance to the standardized method for central venous catheter insertion.en
dc.format.mimetypeapplication/pdfen
dc.identifier.oclc1156324388
dc.identifier.urihttps://hdl.handle.net/2152.5/8340
dc.language.isoenen
dc.subjectCatheterization, Central Venousen
dc.subjectCompetency-Based Educationen
dc.subjectEducation, Medical, Graduateen
dc.subjectInternal Medicineen
dc.subjectInternship and Residencyen
dc.subjectSimulation Trainingen
dc.titleStandardization of Internal Jugular Central Venous Catheter Insertion Between Multiple Specialties with Simulationen
dc.typeThesisen
dc.type.materialtexten
thesis.degree.departmentUT Southwestern Medical Schoolen
thesis.degree.disciplineQuality Improvement and Patient Safetyen
thesis.degree.grantorUT Southwestern Medical Centeren
thesis.degree.levelDoctoralen
thesis.degree.nameM.D. with Distinctionen

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