Comparing Human Subjects Research, Evidence-Based Practice, and Quality Improvement Approaches to Improve Peripheral Midline Usage in Pediatric Acute Care.

This article compares human subjects research, evidence-based practice (EBP), and quality improvement (QI) approaches to enhance peripheral midline catheter (PML) usage in pediatric acute care. It highlights that human subjects research generates new, generalizable knowledge through controlled studi...

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Publicado en:Journal of the Association for Vascular Access Vol. 30; no. 4; pp. 30 - 42
Autores principales: Franklin, Ashley E., Clark, Catherine, Robinson, Isra, Wissbaum, Louise
Formato: tables/charts Journal Article
Publicado: Association for Vascular Access Winter2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Winter2025
      vid: 30
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      pub: Association for Vascular Access
      place: Herriman, Utah
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        atl: Comparing Human Subjects Research, Evidence-Based Practice, and Quality Improvement Approaches to Improve Peripheral Midline Usage in Pediatric Acute Care.
      aug:
        au:
          Franklin, Ashley E.
          Clark, Catherine
          Robinson, Isra
          Wissbaum, Louise
      sug:
        subj:
          Research Subjects
          Medical Practice, Evidence-Based
          Quality Improvement
          Catheterization, Peripheral
          Intensive Care Units, Pediatric
          Pediatric Care
          Health Promotion
          Quality of Health Care
          Workflow
          Artificial Intelligence, Generative Utilization
          Treatment Outcomes
          Staff Development
          Simulations
          Decision Support Systems, Clinical
      ab: This article compares human subjects research, evidence-based practice (EBP), and quality improvement (QI) approaches to enhance peripheral midline catheter (PML) usage in pediatric acute care. It highlights that human subjects research generates new, generalizable knowledge through controlled studies, while EBP applies this evidence to update clinical practice, and QI focuses on local, iterative improvements in care delivery. The authors describe using tabletop simulation within a pediatric teaching hospital to engage stakeholders, identify workflow barriers, and inform staff education aimed at increasing PML use, which has been shown in randomized trials to reduce device failure and complications compared to peripheral intravenous catheters. The article emphasizes the complementary roles of these paradigms and encourages vascular access professionals to collaborate with EBP mentors and employ continuous QI cycles to translate research into sustainable practice improvements that enhance patient outcomes.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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