Evidence map›Paper›PMID 31668709›Full record

ArticleAmerican journal of surgery2020

From the simulation center to the bedside: Validating the efficacy of a dynamic haptic robotic trainer in internal jugular central venous catheter placement.

Hong-En Chen, Cheyenne C Sonntag, Katelin A Mirkin, David F Pepley, David C Han, Jason Z Moore, Scarlett R Miller

Abstract readComparative StudyValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Preparing for the lasting effects of COVID-19 on medical training: The design and pilot study of a low-fidelity virtual reality prototype for Central Venous Catheterization training.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
  8. LEARNING FROM FAILURE: A CASE STUDY OF HUMAN DRIVEN RISK ASSESSMENT IN MEDICAL SIMULATOR DESIGN.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
  9. Slow and Steady: Examining the impact of hands-on instructions on learnability of a training simulator to enhance development of core skills in Central Venous Catheterization.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hong-En ChenDepartment of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park, PA, 16802, USA.
Cheyenne C SonntagDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
Katelin A MirkinDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
David F PepleyDepartment of Mechanical and Nuclear Engineering, Pennsylvania State University, University Park, PA, 16802, USA.
David C HanDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; Penn State Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; School of Engineering Design, Technology, and Professional Programs, Pennsylvania State University, University Park, PA, 16802, USA.
Jason Z MooreDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; Department of Mechanical and Nuclear Engineering, Pennsylvania State University, University Park, PA, 16802, USA.
Scarlett R MillerDepartment of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park, PA, 16802, USA; Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; School of Engineering Design, Technology, and Professional Programs, Pennsylvania State University, University Park, PA, 16802, USA. Electronic address: scarlettmiller@psu.edu.

Funding

Dynamic Haptic Robotic Training for Central Venous Catheter InsertionR01HL127316 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Scarlett Miller, Jason Zachary Moore · 2015 to 2026
$3.7M
NHLBI NIH HHS R01 HL127316
6 · The paper itself

Abstract

backgroundThe objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments. DHRT training greatly reduces preceptor time by providing automated feedback, standardizes learning experiences, and quantifies skill improvements.

methodsExpert observers evaluated DHRT-trained (N = 21) and manikin-trained (N = 36) surgical residents on US-IJCVC placement in the operating suite using a US-IJCVC evaluation form. Performance and errors by DHRT-trained residents were compared to traditional manikin-trained residents.

resultsThere were no significant training group differences between unsuccessful insertions (p = 0.404), assistance on procedure (p = 0.102), arterial puncture (p = 0.998), and average number of insertion attempts (p = 0.878). Regardless of training group, previous central line experience significantly predicted whether residents needed assistance on the procedure (p = 0.033).

conclusionThe results failed to show a statistical difference between DHRT- and manikin-trained residents. This study validates the transfer of skills from training on the DHRT system to performing US-IJCVC in clinical environments.

Indexed as

Clinical CompetenceAcademic Medical CentersCatheterization, Central VenousEducation, Medical, GraduateFemaleGeneral SurgeryHumansInternship and ResidencyJugular VeinsLogistic ModelsMaleManikinsPennsylvaniaRobotic Surgical ProceduresSimulation TrainingUltrasonography, InterventionalCentral venous catheterizationSimulationSurgical educationTransferValidation

Identifiers

PMID31668709
PMCPMC7222103

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.