Failure of a brief educational program to improve interpretation of pulmonary artery occlusion pressure tracings

Intensive Care Med. 2000 Jun;26(6):698-703. doi: 10.1007/s001340051235.

Abstract

Objective: To determine whether a brief educational program can reduce variability of interpretation of pulmonary artery occlusion pressure (PAOP) tracings.

Design: Prospective, observational study.

Participants: Twenty-three intensive care nurses and 18 physicians.

Interventions: Participants interpreted PAOP tracings before and 1 week after receiving a single, brief educational session and/or written materials ("in-service") designed to reduce interobserver variability of PAOP interpretation. Differences between two reference values before and after in-service (mean population and Chief of Critical Care's readings) were compared for both groups.

Results: There were no significant differences in the variabilities in PAOP interpretations before and after in-service in either group.

Conclusions: We conclude that this specific educational program was ineffective in reducing variability of interpretation of PAOP tracings. These data suggest that more comprehensive educational tools and/or sustained programs may be required to improve performance of critical care personnel in PAOP interpretation.

MeSH terms

  • Cardiology / education
  • Catheterization, Swan-Ganz*
  • Humans
  • Inservice Training*
  • Intensive Care Units*
  • Nursing Staff, Hospital / education
  • Observer Variation
  • Prospective Studies
  • Pulmonary Wedge Pressure*