1. Handheld High Fidelity Simulation
Training For IV Catheterization
Debra L. Weiner, MD, PhD
Boston Children’s Hospital/Harvard Medical School
Mark Ottensmeyer, PhD
Massachusetts General Hospital
INSPIRE @ IMSH 2014: San Francisco, California, USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. Background
Simulation For Procedure Training
•
Low-cost, handheld simulation for training of minimally-invasive
procedures anywhere, anytime, would
–Bring simulation to broader scope of providers
–Provide on-demand training proximate to time needed
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We created handheld haptic simulation IV training device
–Haptic block + phone or tablet
–Didactics, bi-directional interactivity, database backed
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Potential to
–Create paradigm shift in non-patient
based
procedure training
–Expand/enhance healthcare access,
,
quality, safety any population
International Network for Simulation-based Pediatric Innovation, Research and Education

3. PICO Question
• P: Residents (+ nurses)
• I: Handheld haptic simulation IV training device
• C: IV training arm
• O: Knowledge/skills performance
Device use, usability
Success rate IV in patients pre/post training
International Network for Simulation-based Pediatric Innovation, Research and Education

4. Approach / Design
•
Multicenter prospective
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•
•
•
Training/testing: dedicated sessions, ED, inpatient units + self-directed refreshers
Knowledge-indications, complications, technique
Skills-preparation, procedure
Access Handheld Device Use, Usability
•
•
•
•
Sites: 5-10 pediatric hospitals
Compare Performance IV arm vs. handheld device
•
•
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Participants: residents +/- nurses, 100-200 participants
Participant demographics
Experience-IV catheterization, simulation, technology enhanced procedures
Evaluation use, usability, effectiveness platform, content
Track IV catheterization performance in patients x 6 months
•
Number patients IV attempted, percent, characteristics successful/failed attempts
International Network for Simulation-based Pediatric Innovation, Research and Education

5. Timeline
• ALERT Presentation: Jan 25, 2014
• Grant Proposal (if applicable): seeking opportunities
• IRB Submission: May 1, 2014
• Recruitment / Data Collection: AY 2014-2015
• Data Analysis: July 2015-Oct 2015
• Abstract Presentation: Jan 2016
• Manuscript Preparation: Nov 2015-Mar 2016
International Network for Simulation-based Pediatric Innovation, Research and Education

6. 3 Questions to improve study
1. Study participants?
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Residents ?include nurses, best time year to start?
1. Primary outcome measure?
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Performance IV trainer arm vs. handheld, or success
patient IVs – patient success ideal but ?practical
1. Best measure of knowledge, skills?
–
Test, observation pre, post, 1, 3, 6 months?
International Network for Simulation-based Pediatric Innovation, Research and Education

7. Contact Information
Name: Deb Weiner
Institution: Boston Children’s Hospital
E-mail: weiner_d@tch.harvard.edu
Phone:617-355-4144
International Network for Simulation-based Pediatric Innovation, Research and Education