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Related Experiment Video

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A novel infection prevention approach: Leveraging a mandatory electronic communication tool to decrease peripherally

Sue J Kim-Saechao1, Earl Almario1, Zachary A Rubin2

  • 1Division of Vascular and Interventional Radiology, Department of Radiological Sciences, University of California Los Angeles Medical Center, Los Angeles, CA.

American Journal of Infection Control
|May 16, 2016
PubMed
Summary

A mandatory electronic communication tool (MECT) significantly reduced premature peripherally inserted central catheter (PICC) removals and complications. This innovation led to zero central line-associated bloodstream infections, improving patient safety and reducing healthcare costs.

Keywords:
Central-line associated blood stream infectionIR nurse practitionerPICC removal checklistPICC teamPremature PICC removal

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Area of Science:

  • Healthcare quality improvement
  • Medical device management
  • Infection prevention

Background:

  • Premature removal of peripherally inserted central catheters (PICCs) due to unconfirmed infections or thrombosis leads to repeat procedures and complications.
  • A mandatory electronic communication tool (MECT) was implemented for adult inpatient PICCs at a tertiary medical center to enhance clinical practice guidelines adherence.

Purpose of the Study:

  • To evaluate the impact of a mandatory electronic communication tool (MECT) on PICC removal rates, complications, and associated costs.
  • To assess the effectiveness of a novel infection prevention strategy using MECT for PICC management.

Main Methods:

  • A historical cohort study compared 200 PICCs post-MECT implementation with 200 PICCs from the prior 12 months.
  • Data on PICC removal rates, complication occurrences, and radiology costs were collected and analyzed.

Main Results:

  • Central-line associated bloodstream infection rate decreased from 1.38 to 0 per 1,000 catheter days.
  • Provider-led premature PICC removals were eliminated, with an 84% overall reduction in premature removals (16% to 2.5%).
  • Total complication rates dropped from 45.5% to 24%, and radiology costs were reduced by 25%.

Conclusions:

  • The mandatory electronic communication tool (MECT) represents a novel and effective approach to infection prevention for PICCs.
  • Implementation of MECT resulted in zero central line-associated bloodstream infections and eliminated provider-led premature PICC removals, significantly improving patient outcomes.