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Related Experiment Video

Updated: Jun 24, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

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

|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.

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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.