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Chronic hyperkalemia comorbid to heart failure (HF) requires comprehensive management. We sought to determine if case-based online continuing medical education (CME) can improve the clinical performance of cardiologists and nurses/nurse practitioners (NPs).
The CME activity was a 15-minute interactive case study with patient-physician vignettes. A repeated pairs pre-/post-assessment study design was used and chi-square test (P <.05 is considered significant) assessed educational effect for each activity. Cramer’s V was used to calculate the effect size (0.06-0.15 is a noticeable effect, 0.16-0.26 considerable, and >0.26 extensive). The activity launched September 21, 2018 and data were collected through November 30, 2018.
In total, 98 cardiologists and 1,504 nurses/NPs were included in the study. Improved clinical performance was demonstrated among cardiologists and nurses/NPs:
• 41% (P <.001; V=.404) of cardiologists and 41% of nurses/NPs (P <.001; V=.364) improved at appropriate management of a patient with hyperkalemia
• One month later, upon recognition of chronic potassium elevation, 38% of cardiologists (P <.001; V=.355) and 29% of nurses/NPs (P <.001; V=.214) improved at adding a potassium binding agent
• Three months post potassium binder initiation, patient returns with normal serum potassium levels, 49% of cardiologists (P <.001; V=.498) and 36% of nurses/NPs (P <.001; V=.370) improved at managing continued elevated blood pressure
• 46% of cardiologists and 44% of nurses/NPs reported increased confidence in adding a potassium binding agent in an appropriate patient Continued educational gaps:
• 19% of cardiologists and 53% of nurses/NPs failed to effectively manage the patients’ blood pressure
• 40% of cardiologists and 39% of nurses/NPs failed to initiate a potassium binding agent when indicated
This study demonstrates the success of online, CME-accredited, interactive case study with patient-physician vignettes on significantly improving clinical performance of cardiologists and nurses/NPs related to chronic management of hyperkalemia. Continued gaps were identified for future educational targets.
Posters Hall_Hall A
Saturday, March 28, 2020, 12:30 p.m.-1:15 p.m.
Session Title: Spotlight on Special Topics: Education and Training 2
Abstract Category: 42. Spotlight on Special Topics: Education and Training
Presentation Number: 1174-274
- 2020 American College of Cardiology Foundation