Impact of Defaulting to Single-Lumen Peripherally Inserted Central Catheters on Patient Outcomes: An Interrupted Time

Philip W Lam1, Cheryl Volling1, Tiffany Chan1

  • 1Division of Infectious Diseases, Department of Medicine, University of Toronto, Ontario, Canada.

Insights

Defaulting to single-lumen peripherally inserted central catheters (PICCs) reduced complications. This approach can improve patient safety and efficiency in outpatient parenteral antimicrobial therapy clinics.

Area of Science:

  • Medical Devices
  • Infection Control
  • Patient Safety

Background:

  • Peripherally inserted central catheters (PICCs) are widely used for long-term venous access.
  • PICC-related complications can lead to increased morbidity, mortality, and healthcare costs.
  • Standardizing PICC ordering and management may mitigate these risks.

Purpose of the Study:

  • To evaluate the impact of defaulting to single-lumen PICCs from non-critical care units on complication rates.
  • To assess the transferability and potential benefits of this care model in outpatient settings.

Main Methods:

  • Retrospective analysis of PICC orders and complications.
  • Implementation of a standardized protocol for PICC selection and management.
  • Comparison of complication rates before and after protocol implementation.

Main Results:

  • A sustained reduction in PICC-related complications was observed after implementing the standardized approach.
  • The system demonstrated potential for improved patient safety and operational efficiency.

Conclusions:

  • Defaulting to single-lumen PICCs from non-critical care units is an effective strategy to reduce complications.
  • This standardized care model is transferable and beneficial for outpatient parenteral antimicrobial therapy clinics.

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