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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.
Abstract:
Defaulting to single-lumen peripherally inserted central catheters (PICCs) ordered from non-critical care units resulted in a sustained reduction in PICC-related complications. This system of care is transferrable to other institutions, with potential for improved patient safety and efficiency in outpatient parenteral antimicrobial therapy clinics.
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