{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:36:47Z","timestamp":1778701007012,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Central line-associated bloodstream infections (CLABSIs) are preventable complications that pose a significant health risk to patients and place a financial burden on hospitals. Central line simulation-based education (SBE) efforts vary widely in the literature. The aim of this study was to perform a value analysis of published central line SBE and develop a refined method of studying central line SBE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A database search of PubMed Central and Cumulative Index to Nursing and Allied Health Literature (CINAHL) was performed for articles mentioning \u201cCost and CLABSI,\u201d \u201cCost and Central line Associated Bloodstream Infections,\u201d and \u201cCost and Central Line\u201d in their abstract and article body. Articles chosen for qualitative synthesis mentioned \u201csimulation\u201d in their abstract and article body and were analyzed based on the following criteria: infection rate before vs. after SBE, cost of simulation, SBE design including simulator model used, and learner analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 215 articles identified, 23 were analyzed, 10 (43.48%) discussed cost of central line simulation with varying criteria for cost reporting, 8 (34.8%) numerically discussed central line complication rates (7 CLABSIs and 1 pneumothorax), and only 3 (13%) discussed both (Figure). Only 1 addressed the true cost of simulation (including space rental, equipment startup costs, and faculty salary) and its longitudinal effect on CLABSIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current literature on central line SBE efforts lacks value propositions. Due to the lack of value-based data in the area of central line SBE, the authors propose a cost reporting standard for use by future studies reporting central line SBE costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211011134","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T16:09:26Z","timestamp":1618934966000},"page":"2678-2685","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Value Analysis of Central Line Simulation-Based Education"],"prefix":"10.1177","volume":"88","author":[{"given":"Nicholas J.","family":"Iglesias","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylor P.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford L.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Sommerhalder","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Texas Medical Branch, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"bibr1-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1086\/670629"},{"key":"bibr2-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-014-0689-y"},{"issue":"8","key":"bibr3-00031348211011134","first-page":"233","volume":"60","author":"Centers for Disease Control and Prevention (CDC)","year":"2011","journal-title":"MMWR Morbidity and mortality weekly report"},{"key":"bibr4-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.215"},{"key":"bibr5-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2011.01018.x"},{"key":"bibr6-00031348211011134","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.12.24"},{"key":"bibr7-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp1011024"},{"key":"bibr8-00031348211011134","volume-title":"Evidence-Based Medicine to Value Based Medicine","author":"Brown M","year":"2005"},{"key":"bibr9-00031348211011134","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-13-00258"},{"key":"bibr10-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.468"},{"key":"bibr11-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.1.e8"},{"key":"bibr12-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-002665"},{"key":"bibr13-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-3319"},{"key":"bibr14-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2017.06.003"},{"key":"bibr15-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000337"},{"issue":"5","key":"bibr16-00031348211011134","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/000313480306900516","volume":"69","author":"Martin M","year":"2003","journal-title":"Am Surg"},{"key":"bibr17-00031348211011134","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-8-200004180-00007"},{"key":"bibr18-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.570"},{"key":"bibr19-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1097\/NND.0b013e318237117c"},{"key":"bibr20-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0513-4"},{"key":"bibr21-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0b013e3181bc8304"},{"key":"bibr22-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.11.016"},{"key":"bibr23-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226786"},{"key":"bibr24-00031348211011134","doi-asserted-by":"publisher","DOI":"10.1080\/01421590500046924"},{"key":"bibr25-00031348211011134","unstructured":"Laerdal Medical. 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