Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis.
Background: The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist tea...
| Published in: | Cost Effectiveness & Resource Allocation Vol. 21; no. 1; pp. 1 - 9 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
BioMed Central
9/16/2023
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171994923&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171994923 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14787547 1CL9 jtl: Cost Effectiveness & Resource Allocation issn: 14787547 maglogo: N pubinfo: dt: 9/16/2023 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 171994923 171994923 171994923 10.1186/s12962-023-00464-6 171994923 ppf: 1 ppct: 8 formats: tig: atl: Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis. aug: au: Ricou Ríos, Laura Esposito Català, Candela Pons Calsapeu, Arnau Adroher Mas, Cristina Andrés Martínez, Isabel Nuño Ruiz, Isaac Castellà Creus, Mònica Castellà Fàbregas, Laia García Quesada, Maria José Estrada Cuxart, Oriol Ara del Rey, Jordi López Seguí, Francesc affil: https://ror.org/04wkdwp52 Direcció d'Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain sug: subj: Implementation Science Association for Vascular Access Multidisciplinary Care Team Tertiary Health Care Outcome Assessment Human Cost Benefit Analysis Peripherally Inserted Central Catheters Patient Safety Patient Satisfaction Health Care Costs Economic Factors Nursing Care Ultrasonography ab: Background: The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs. Methods: Cost-benefit analysis from the perspective of the healthcare provider based on administrative data. The study estimates the reduction in resources used when changing the current practice for the use of ultrasound-guided midline and PICC catheters, as well as the additional resources required for their use. Results: The use of an ultrasound-guided device on peripherally inserted central carheter, results in a measurable resource reduction of approximately €31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is €63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of €16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of €96. Conclusion: The benefits of using ultrasound-guided midline and PICC catheters compared to current practice by introducing a vascular access specialist team trained in the implantation of ultrasound-guided catheters, outweigh its cost mainly because of the decrease in hospital stay due to the lowered risk of phebitis. These results motivate the implementation of the service, adding to previous experience suggesting that it is also preferable from the point of view of patient safety and satisfaction. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|