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Peripheral venous access using devices over needles with and without extension: costs and outcomes
Antônio Fernandes Costa Lima1, Amanda Saba1, Abílio Gonçalves das Neves Filho1
1Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Revista Brasileira De Enfermagem
|July 2, 2020
Summary
The device over needle with extension is more effective for peripheral venous access length, despite a higher direct cost. This finding aids in optimizing medical device selection for better patient outcomes.
Area of Science:
- Medical Devices
- Nursing Research
- Health Economics
Background:
- Peripheral venous access is crucial for patient care.
- Optimizing device selection impacts both clinical outcomes and healthcare costs.
Purpose of the Study:
- To compare the mean direct cost and peripheral venous access length outcomes.
- Evaluate devices over needle with and without extension.
Main Methods:
- Quantitative, exploratory-descriptive research design.
- Tracking venous punctures and device lengths.
- Calculating mean direct cost based on nursing time and material expenses.
Main Results:
- Devices with extension cost $9.37 compared to $4.50 for devices without extension.
- The 'device over needle with extension' showed a lower incidence of accidental loss.
- Totaling 96 hours of stay, the extended device demonstrated better performance.
Conclusions:
- The 'device over needle with extension' is more effective for maintaining adequate peripheral venous access length.
- Despite a higher mean direct cost, the extended device offers superior clinical benefits.
- This research supports informed decisions in selecting peripheral venous access devices.
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