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Updated: Jun 24, 2026
09:57
A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Governing peripherally inserted central venous catheters by combining continuous performance improvement and
Darren S Migita1, Liz Postetter, Susan Heath
1Seattle Children's, Seattle, Washington 98105, USA. darren.migita@seattlechildrens.org
Pediatrics
|April 2, 2009
Summary
Implementing computerized order sets and performance improvement projects reduced peripherally inserted central catheter (PICC) use by 33.4%. This initiative also enhanced provider satisfaction with the PICC ordering process.
Area of Science:
- Healthcare Management
- Medical Device Utilization
- Patient Safety
Background:
- Peripherally inserted central catheters (PICCs) are crucial but prone to overuse.
- Establishing effective governance for PICC placement is essential for optimizing patient care and resource allocation.
Purpose of the Study:
- To implement and evaluate a system for governing peripherally inserted central catheter (PICC) placement.
- To reduce unnecessary PICC insertions and improve the efficiency of the ordering process.
Main Methods:
- Integrated continuous performance-improvement projects with computerized physician order entry (CPOE).
- Increased daily awareness of central venous catheters, established PICC-specific insertion criteria, and a governing vascular-access service.
- Developed a PICC-specific CPOE order set to standardize the ordering process.
Main Results:
- PICC insertion volumes decreased by 33.4% and remained sustained for 19 months.
- Provider satisfaction scores with the ordering process significantly improved from 2.68 to 3.55 (p < 0.05).
- Improved timeliness of PICC placement, with 48% placed on the order day.
Conclusions:
- Computerized order sets effectively standardize physician ordering practices.
- A multidisciplinary approach combining CPOE and performance improvement can successfully govern PICC utilization.
- Standardization through technology enhances both efficiency and provider satisfaction in medical device management.
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