Process-oriented feedback for ultrasound-guided central venous access training: a randomized controlled trial

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dc.article.number468
dc.catalogadorgrr
dc.contributor.authorFuente Sanhueza, René Francisco de la
dc.contributor.authorGálvez Yanjarí, Víctor Andrés
dc.contributor.authorDelfino Yurin, Alejandro
dc.contributor.author Lira, Ricardo
dc.contributor.authorHurtado, Claudia
dc.contributor.authorMunoz-Gama, Jorge
dc.contributor.authorSepúlveda Fernández, Marcos Ernesto
dc.date.accessioned2025-10-09T12:41:30Z
dc.date.available2025-10-09T12:41:30Z
dc.date.issued2025
dc.description.abstractBackground: Process mining is an emerging discipline that allows for the analysis of procedural executions performed in a training context, providing objective information about adherence with a normative procedural model (similarity), the number of repetitions of steps (reworks), and performance metrics, which can be used as objective feedback for trainees to guide learning through a process-oriented feedback approach. The aim of this study was to assess whether interventions based on information derived from process mining analysis improve the attainment of procedural proficiency. Methods: Twenty anaesthesia and emergency medicine residents participated in a training program on ultrasoundguided internal jugular central venous catheter placement that took place in a simulated environment. The participants were randomized into a process-oriented training group (n=10), which received supplementary interventions during training according to the information obtained with process mining tools, and a control group (n=10), for whom the simulation-based training program was unchanged. Video recordings of each student were obtained before and after the training. Two blinded observers evaluated each recording using a global rating scale(primary outcome) and checklist. Procedure execution time and process-oriented metrics (rework and similarity) were measured. The pre- and posttraining performance indicators were compared within groups and between groups. The interrater reliability of the global rating scale scores was calculated using the intraclass correlation coefficient. We used the Wilcoxon signed-rank test for intragroup comparisons and the Mann‒Whitney test for intergroup comparisons. Statistical significance was set at P<.05, adjusted for multiple comparisons. Results: There were no differences between groups in the pretraining measures. During post training, both groups showed improved performance in ultrasound-guided central venous catheter placement compared with their pretraining performance. The global scale results, checklist results, and execution times were not significantly differentbetween the control and process-oriented groups. However, the process-oriented group showed a significant improvement in similarity to the expected performance and a greater reduction in rework than did the control group.
dc.fechaingreso.objetodigital2025-10-09
dc.format.extent10 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1186/s12871-025-03341-2
dc.identifier.issn1471-2253
dc.identifier.pubmedid41029216
dc.identifier.urihttps://doi.org/10.1186/s12871-025-03341-2
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/105981
dc.information.autorucEscuela de Medicina; Fuente Sanhueza, René Francisco de la; 0000-0001-7187-3405; 102089
dc.information.autorucEscuela de Ingeniería; Gálvez Yanjarí, Víctor Andrés; 0000-0003-1789-703X; 224212
dc.information.autorucEscuela de Medicina; Delfino Yurin, Alejandro; 0000-0002-0659-7130; 129220
dc.information.autorucEscuela de Ingeniería; Sepúlveda Fernández, Marcos Ernesto; 0000-0002-9467-7666; 80415
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaBMC Anesthesiology
dc.rightsacceso abierto
dc.rights.licenseCC BY-NC-ND 4.0 Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleProcess-oriented feedback for ultrasound-guided central venous access training: a randomized controlled trial
dc.typeartículo
dc.volumen25
sipa.codpersvinculados102089
sipa.codpersvinculados224212
sipa.codpersvinculados129220
sipa.codpersvinculados80415
sipa.indexPubmed
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