ArticleFrontiers in medicine2021
Measuring Cannulation Skills for Hemodialysis: Objective Versus Subjective Assessment.
Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Challenges in Hemodialysis: An Analytic Study of Nurses' Cannulation Failures.Healthcare (Basel, Switzerland) · 2026Article
- Educational Impact of a 3D Canine Vascular Simulator for Learning Anatomy and Interventional Radiology Techniques in Veterinary Training.Veterinary sciences · 2025Article
- Article
- Examining the Efficacy of an Improved CanSim for Quantifying Hemodialysis Cannulation Skills.Applied Human Factors and Ergonomics Conference · 2025Article
- Assessment of nurse practitioners' capacity of using the ABC/2 formula for intracranial lesion volume measurement.BMC nursing · 2024Article
- Hemodialysis patients and complications management costs in Italy: Plastic cannulae a potentially cost-effective strategy.The journal of vascular access · 2024Article
- Cannulation Skill Assessment Using Functional Data Analysis.IEEE journal of biomedical and health informatics · 2023Article
- Relating process and outcome metrics for meaningful and interpretable cannulation skill assessment: A machine learning paradigm.Computer methods and programs in biomedicine · 2023Article
- Simulator-Based Metrics for Quantifying Vascular Palpation Skill for Cannulation.IEEE access : practical innovations, open solutions · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
Lack of cannulation skill during hemodialysis treatments results in poor clinical outcomes due to infiltration and other cannulation-related trauma. Unfortunately, training of patient care technicians and nurses, specifically on the "technical" aspects of cannulation, has traditionally not received much attention. Simulators have been successfully deployed in many medical specialties for assessment and training of clinical skills. However, simulators have not been as widely used in nursing, especially in the context of training clinical personnel in the dialysis unit. We designed a state-of-the-art simulator for quantifying skill for hemodialysis cannulation. In this study, 52 nurses and patient care technicians with varying levels of clinical experience performed 16 cannulations on the simulator with different fistula properties. We formulated a composite metric for objectively measuring overall success of cannulation and compared this metric with subjective assessment by experts. In addition, we examined if years of clinical experience correlated with objective and subjective scores for cannulation skill. Results indicated that, while subjective and objective metrics generally correlated with each other, the objective metric was more precise and better suited for quantifying cannulation skill. Further, the simulator-based objective metric provides several advantages over subjective ratings, including providing fine-grained assessment of skill, consistency in measurement unaffected by subjective biases, and basing assessment on a more complete evaluation of performance. Years of clinical experience, however, demonstrated little correlation with either method of skill assessment. The methods presented for cannulation skill assessment in this study, if widely applied, could result in improved cannulation skill among our PCTs and nurses, which could positively impact patient outcomes in a tangible way.
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