title: Measuring competence in central venous catheterization: a systematic-review.
abstract: OBJECTIVE
  Central venous catheterization is a complex procedural skill. This study evaluates existing published tools on this procedure and systematically summarizes key competencies for the assessment of this technical skill.
  
  
  METHODS
  Using a previously published meta-analysis search strategy, we conducted a systematic review of published assessment tools using the electronic databases PubMed, MEDLINE, Education Resource Information Center (ERIC), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica, and Cochrane Central Register of Controlled Trials. Two independent investigators abstracted information on tool content and characteristics.
  
  
  RESULTS
  Twenty-five studies were identified assessing a total of 147 items. Tools used for assessment at the bedside (clinical tools) had a higher % of items representing "preparation" and "infection control" than tools used for assessment using simulation (67 ± 26% vs. 32 ± 26%; p = 0.003 for "preparation" and 60 ± 41% vs. 11 ± 17%; p = 0.002 for "infection control", respectively). Simulation tools had a higher % of items on "procedural competence" than clinical tools (60 ± 36% vs. 17 ± 15%; p = 0.002). Items in the domains of "Team working" and "Communication and working with the patient" were frequently under-represented.
  
  
  CONCLUSIONS
  This study presents a comprehensive review of existing checklist items for the assessment of central venous catheterization. Although many key competencies are currently assessed by existing published tools, some domains may be under-represented by select tools.
authors: Department of Medicine, University of Calgary, Calgary, AB Canada ; W21C, University of Calgary, 3330 Hospital Dr NW, T2N 4N1 Calgary, AB Canada.
authors: Irene Wy
authors: IW
authors: Ma
authors: W21C, University of Calgary, 3330 Hospital Dr NW, T2N 4N1 Calgary, AB Canada.
authors: Nishan
authors: N
authors: Sharma
authors: Department of Surgery, University of Calgary, Calgary, AB Canada.
authors: Mary E
authors: ME
authors: Brindle
authors: W21C, University of Calgary, 3330 Hospital Dr NW, T2N 4N1 Calgary, AB Canada.
authors: Jeff
authors: J
authors: Caird
authors: Department of Medicine, University of Calgary, Calgary, AB Canada.
authors: Kevin
authors: K
authors: McLaughlin
keywords: Catheterization; Central venous; Checklist; Clinical competence; Medical education