Standardization of health care provider competencies for intrathecal access procedures.

Journal Article (Journal Article;Review)

INTRODUCTION: This quality improvement (QI) project addresses a method for experienced health care providers to maintain skill-based competence for intrathecal access procedures. METHODS: A prospective QI design using intrathecal access simulation to assess, educate, and evaluate skill competency. Simulation was used as a strategy to promote patient safety and standardize practice patterns. Pretest and posttest methodology using paired t tests were performed to assess anxiety, confidence, and knowledge. RESULTS: Fourteen pediatric providers participated in this QI project. There was a statistically significant improvement in confidence measuring intracranial pressure (ICP; t = -2.92, P = .013), performance-related overall anxiety (t = -2.132, P = .05) and administering intrathecal chemotherapy (t = -2.144, P = .053). Fifty percent of participants missed a medication error demonstrating confirmation bias. CONCLUSION: This simulation strategy resulted in improved confidence in measuring ICP, performance-related overall anxiety, and confidence in administering chemotherapy. Confirmation bias occurred during simulation testing for a medication error. We propose this method for maintaining clinical competencies in health care providers and introducing new skills to existing practices.

Full Text

Duke Authors

Cited Authors

  • McLaughlin, CA; Hockenberry, MJ; Kurtzberg, J; Hueckel, R; Martin, PL; Docherty, SL

Published Date

  • 2014

Published In

Volume / Issue

  • 31 / 6

Start / End Page

  • 304 - 316

PubMed ID

  • 25057001

Electronic International Standard Serial Number (EISSN)

  • 1532-8457

Digital Object Identifier (DOI)

  • 10.1177/1043454214543019


  • eng

Conference Location

  • United States