kessler lp alert update 2014
TRANSCRIPT
ALERT Presentation: Improving trainee success rates with
Infant Lumbar Puncture
David Kessler, et al.
Columbia University, NY
INSPIRE @ IMSH 2014: San Francisco, California,USA
International Network for Simulation-based Pediatric Innovation, Research and Education
44 hospitals
1008 trainees
2012
2013-14 Collaborators
• Jennifer Trainor • Daniel Lemke • Louisdon Pierre • Daniel Fein • Kathleen Ostrom • Megan Lavoie • Brett McAninch • Joel Clingenpeel • Pavan Zaveri
Marjorie Lee WhiteWendy Van Ittersum Joshua Rocker Lisa McQueen Sujit Iyer Brian Costello Renuka Mehta Maybelle Kou DJ Scherzer Cena Tejani Elsa L Vazquez Melendez
Denis OriotJames Gerard Devin Grossman Moon Lee E. Berry Seelbach Amanda Pratt Rita Dadiz Jonathan Jacobs Kevin Ching Marc Auerbach
ColumbiaYale UniversityComer Children's HospitalNationwide Children's HospitalStony Brook UniversityInova Fairfax Hospital for ChildrenUMDNJ/RWJUHChildren's Hospital at MontefioreChildren's Hospital Los AngelesCleveland ClinicWeill Cornell Medical CenterCentre Hospitalier de PoitiersGeorgia Health Sciences UniversityKing Abdulaziz University HospitalUniversity of Rochester Medical CenterChildren's Hospital of Pittsburgh of UPMCCohen Childrens medical CenterChildren's National Medical Center
University of WisconsinChildren's of AlabamaLeBonheur Children's HospitalUTSW Jacobi Medical CenterOSF Saint Francis Medical Center/University of Illinois College of Medicine at PeoriaAlfred I dupontChildren’s Hospital of the Kings DaughtersBrooklyn Hospital CenterAnn & Robert H. Lurie Children's Hospital of ChicagoDell Children's Medical Center of Central TexasEmoryCHOPTufts Medical Center/Floating Hospital for Children at Tufts Medical CenterSSM Cardinal Glennon Children's Medical Center/SLU
2013-14 Collaborators
• Add text here
International Network for Simulation-based Pediatric Innovation, Research and Education
Background
Design Outcomes Results
2008 Single center RCT in all peds residents n=56
Sim-training vs video
Successful LP, confidence, knowledge, skills on simulator
94% vs 47%
2009 Multi-center RCT (10) n=200
Sim LP vs Sim IV
Successful LP or IV
34% vs 34%
2010 Multi-center cohort (25) n= 501Sim LP mastery & JIT vs historical
Successful LP 42% vs 34%
2011 Multi-center cohort (33) n=700Sim LP mastery, JIT and assessed
Successful LP Competent 55% Incompetent 28%
2012 Multi-center cohort (38) n=1000Competency pathway vs none
Successful LP pathway vs no pathway
2013 Multi-center cohort (35) n=990Competency pathway vs none
Successful LP pathway vs no pathway
Orientation July August September October November December
1. Online
Survey & Audiovisual
Training
2. Mastery Learning Session
3. JIT:
Just-in-time RefresherSession
4. Clinical Lumbar
Puncture
4. JIT:
Just-in-time RefresherSession
5. Clinical Lumbar
Puncture
Academic Productivity
MANUSCRIPTS JOURNAL PI
A Randomized Trial of Simulation-Based Deliberate Practice For Infant Lumbar Puncture Skills. Simulation in Healthcare
SIH2011
Kessler
Infant Lumbar Puncture: POISE Pediatric Procedure Video.
MedEdPORAL 2011
Auerbach
Interns' Success With Clinical Procedures in Infants After Simulation Training
Pediatrics2013
Kessler
Validation of Global Rating Scale and Checklist Instruments for the Infant Lumbar Puncture Procedure.
SIH2013
Gerard
Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study.
PEC2013
Auerbach
Qualitative evaluation of just-in-time simulation-based learning: The learners' perspective.
SIH2013
Kamdar
Works in ProgressMANUSCRIPTS IN PROGRESS (S=submitted) PI
Competency assessment scale predicts success Auerbach
Just-in-time refreshers impact on LP clinical success S Kessler
Competency assessment HARD STOP – impact on success Kessler
Description of 3rd year success rates Marjorie
Barriers to implementation of competency pathway - qualitative Dadiz
Impact of sim JIT on analgesia use for infant LP Fein
Emergency medicine resident sub-analysis Grossman
Barriers to JIT/workplace learning perceived by instructors-qualitative S Kamdar
Resident JIT impact on ILP success Zaveri
1. Grant ideas?
2. LP ipad app – in development
3. Current plan: take a year off data
collection to let the soil lay “fallow”
International Network for Simulation-based Pediatric Innovation, Research and Education
3 Questions to improve study
Name: David Kessler
Institution: CHONY
[email protected], 5167693777
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information