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Intravascular device use, management, documentation and complications: a point prevalence survey
Karen A New1, Joan Webster1, Nicole M Marsh1
1Centre for Clinical Nursing, 2nd Floor, Centre for Clinical Nursing, Building 34, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia. Email: ; ;
Many intravascular devices are used in hospitals, but nearly 30% lack a clear purpose and a quarter have complications. Improved management and documentation of these devices are needed.
Area of Science:
- Healthcare quality improvement
- Infection prevention
- Patient safety
Background:
- Intravascular devices are essential for patient care but carry risks.
- Effective management and documentation are crucial for preventing complications.
Purpose of the Study:
- To assess the use, management, documentation, and complications of intravascular devices.
- To identify areas for improvement in device management protocols.
Main Methods:
- A point prevalence survey was conducted in a tertiary hospital.
- Descriptive statistics were used to analyze data from 327 patients and 220 devices.
Main Results:
- 58.7% of patients had at least one intravascular device.
- 28.2% of devices were in situ without a clear purpose.
- 24.7% of devices had complications (e.g., redness, pain, swelling).
- 25% of devices lacked documentation of recent site assessment.
Conclusions:
- Significant issues exist in the management and documentation of intravascular devices.
- Recommendations include ongoing education, promoting best practices, and regular reauditing.
- Improvements in device management can enhance patient safety and outcomes.
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