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Editor's Correspondence
January 25, 2010

Simulation-Based Training to Improve Patient Care

Arch Intern Med. 2010;170(2):212-213. doi:10.1001/archinternmed.2009.483

The article by Barsuk et al1 demonstrated that simulation-based training reduces catheter-related bloodstream infections (CRBSIs) associated with central venous line (CVL) placement by trainees. We know that educational intervention can reduce CRBSIs associated with CVL placement.2,3 In a multicenter study, Warren et al3 demonstrated a significant reduction in CRBSIs (11.2 to 8.9 infections per 1000 catheter-days; relative rate, 0.79 [95% confidence interval, 0.67-0.93]) and a decrease in the percentage of femoral vein catheter placement as a result of an education intervention (combination of self-study module and didactic lectures). But the use of simulation and the magnitude of reduction demonstrated by this educational cohort study are truly unique. The improved patient outcomes verify the translation of skills from mannequins to patients.

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