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International recommendations for a vascular access minimum dataset: a Delphi consensus-building study.

Jessica Schults1,2,3, Tricia Kleidon2,3, Vineet Chopra4

  • 1Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia j.schults@griffith.edu.au.

BMJ Quality & Safety
|September 23, 2020
PubMed
Summary
This summary is machine-generated.

International experts established a minimum dataset for vascular access devices. This standardized data collection will improve patient outcomes and clinical practice benchmarking globally.

Keywords:
healthcare quality improvementinformation technologypatient safetyperformance measuresquality measurement

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Area of Science:

  • Medical Devices
  • Healthcare Informatics
  • Clinical Research

Background:

  • Limited data exists on vascular access device (VAD) use and patient outcomes.
  • A lack of standardized variables hinders comprehensive outcome assessment.
  • There is a need for international consensus on essential data points for VAD research.

Purpose of the Study:

  • To derive an international consensus on a minimum dataset for vascular access devices.
  • To establish standardized data collection for VAD research and clinical practice.
  • To improve the assessment of VAD use and patient outcomes.

Main Methods:

  • A modified Delphi study involving international vascular access specialists.
  • Three rounds of data collection: two electronic surveys and a face-to-face consensus panel.
  • Expert panel reached ≥70% agreement on items for the minimum dataset.

Main Results:

  • 64 of 225 interdisciplinary healthcare professionals participated (34% and 29% response rates).
  • A minimum dataset comprising 50 items across five domains was identified.
  • Key domains include demographics, device characteristics, insertion, management, and complications/removal.

Conclusions:

  • An internally validated minimum dataset for vascular access device research was developed.
  • This standardized approach enables collection of relevant and meaningful VAD data.
  • The dataset can facilitate clinical practice benchmarking and worldwide improvements.