Arrhythmias & electrophysiologyRandomised controlled trial

Surgical skill simulation training to proficiency reduces procedural errors among novice cardiac device implanters: a randomized study

EuropacePublished

  • Randomised controlled trial
  • international
  • prospective
  • blinded randomisation
  • blinded assessors

Authors' conclusion

Proficiency-based progression training produces superior objectively assessed novice operators' surgical performance in device implantation compared with traditional (simulation) training.

Study context

Population
Novice cardiac device implanters from 10 countries
Participants
30 implanters · 10 countries
Comparison
Proficiency-based progression (PBP) vs simulation (SIM)
Primary endpoint
Procedural Steps Completed, Critical Errors, Errors (non-critical) and All Errors Combined, scored from video-recorded implant on porcine tissue

Primary result

As reported in the abstract

more procedural Steps completed
difference 11%; P < 0.001
fewer Critical Errors
difference 61.2%; P < 0.001
fewer Errors (non-critical)
difference 57.1%; P = 0.140
fewer All Errors Combined
difference 60.7%; P = 0.001

Further findings

Predefined target performance level demonstrated

Original publication

Surgical skill simulation training to proficiency reduces procedural errors among novice cardiac device implanters: a randomized study. Europace. Published 11 September 2024. doi:10.1093/europace/euae229

Summarised from the published abstract; every number is checked against it