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A768
October 19, 2008 2:00 PM - 4:00 PM Room Hall E2-Area N, |
| Does Medical Education and Training Influence Patient Safety? |
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Karen Fitch-Bergenholtz, M.S., CRNA, Allison Cummings, B.S., David Lain, M.Sc., Ph.D. Education and Training, Oridion Capnography, Jerusalem, Israel |
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Introduction: Medical devices designed to improve patient safety require training and implementation to provide clinical utility. One source of education and training delivered to medical practitioners is from device manufacturers. As part of an internal quality audit, we collected data of customer training, equipment use, and related that to results of improved safety that were independently published. Methods: Training programs completed by clinical application specialists were collected for sites over an approximate 24-month period. Clinical application specialists are currently licensed medical practitioners. Hospitals where the training occurred were then matched for training class, device implementation, and product usage. The device studied is designed to reduce patient risk by early recognition of respiratory depression. During a matched interval, literature was searched to discover publications related to the device associated with the sites trained. Results: Two hundred nineteen training programs were provided during the audited interval. Pre and post clinical education measures of consumable purchases, the supply required per patient to operate the device, indicated an increased utilization post clinical training that increased by approximately 400% over the 24-month period. Of the sites trained, literature revealed five publications related to improved patient safety and reduction of risk while using the medical equipment.1-5 Discussion: Equipment designed to improve patient safety requires expert clinical training to implement. Training is done broadly to include nursing, respiratory therapists, physicians, and engineering. The environments within the institution receiving training for this audit included in part: ER, GI, PICU, NICU, PACU, AICU, and general floor areas. Training improved the utility of the device and usage as measured by post-training consumable purchase patterns. Post-training, and independent to this report, we discovered five publications related to the equipment describing reduction of patient risk for respiratory depression. Conclusion: Expert training provided by non-sales licensed clinical specialists is associated with product utilization. The device for which training was provided is designed to detect respiratory depression. Trained institutions independently reported decrease in patient risk and improved patient safety through early recognition of respiratory depression related to the device. In this quality audit we conclude that medical education and training improves patient safety. References: 1) Maddox RR, et al. Clinical experience with patient-controlled analgesia using continuous respiratory monitoring and a smart infusion system. Am J Health-Syst Pharm 2006; 63:157-64 2) Lightdale JR, et al. Microstream capnography improves patient monitoring during moderate sedation: a randomized, controlled trial. Pediatrics 2006; 117: 1170-1178 3) Olgesby JA. Making pain management safer using capnography; three cases. Poster IAMOV Duke University March 2007 4) McCarter T, et.al. End-tidal carbon dioxide monitoring in patient controlled analgesia. Respir Care 2007; 52(11): 1567 5) Hutchinson R, Rodriguez L. Capnography and respiratory depression. Is capnography a good way to monitor at-risk post surgical patients? A prospective trial examines the question. AJN 2008; 108 (2): 35 - 39. Anesthesiology 2008; 109 A768 |