Impact of a Peripheral Vascular Access Service on Device Use.
Background: More than 1 billion peripheral vascular access devices are inserted annually worldwide with potential complications including infection, thrombosis, and vasculature damage. Vasculature damage can necessitate the use of central catheters, which carry additional risks such as central cathe...
| Published in: | American Journal of Critical Care Vol. 30; no. 4; pp. 295 - 302 |
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| Main Authors: | , , , , |
| Format: | algorithm research tables/charts Journal Article |
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American Association of Critical-Care Nurses
Jul2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151175245&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151175245 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jul2021 vid: 30 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 151175245 151175245 151175245 10.4037/ajcc2021425 151175245 ppf: 295 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of a Peripheral Vascular Access Service on Device Use. aug: au: Wells, Celia Zhang, Ziya Chan, Christy Brito, Amy Kohli-Seth, Roopa affil: Celia Wells is senior director of nursing for critical care, Icahn School of Medicine at Mount Sinai, New York, New York. sug: subj: Catheterization, Peripheral Catheters, Vascular Utilization Intensive Care Units Quality Improvement Human Descriptive Research Chi Square Test Central Venous Catheters Funding Source Inpatients Patient Safety ab: Background: More than 1 billion peripheral vascular access devices are inserted annually worldwide with potential complications including infection, thrombosis, and vasculature damage. Vasculature damage can necessitate the use of central catheters, which carry additional risks such as central catheter–associated bloodstream infections. To address these concerns, one institution used expert nurses and a consult request system with algorithms embedded in the electronic medical record. Objectives: To develop a uniform process for catheter insertion by means of a peripheral vascular access service dedicated to selecting, placing, and maintaining all inpatient peripheral catheters outside of the intensive care units. Methods: Descriptive analysis and χ2 analysis were done to describe the impact of the peripheral vascular access service. Results: In 2018, 6246 consults were reviewed. Of these, 26% did not require vascular access. Similarly, in 2019, 7861 consults were reviewed, and 35.3% did not require vascular access. Use of central catheters decreased from 21% in 2017 to 17% in 2018 and 2019. Conclusions: The peripheral vascular access service allowed patients to receive appropriate peripheral vascular access devices and avoid unnecessary peripheral catheter placements. This may have preserved patients' peripheral vasculature and thus prevented premature central catheter placement and contributed to an overall decrease in central catheter days. With the peripheral vascular access service, peripheral vascular access devices were selected, placed, and maintained by experts with a standardized process that promoted a culture of quality and patient safety. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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