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A quality improvement project to decrease utilization of multilumen peripherally inserted central catheters.

Jennifer Kleinman Sween1, Angela Lowrie2, Jane M Kirmse2

  • 1Division of Hospital Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Infection Control and Hospital Epidemiology
|September 25, 2020
PubMed
Summary
This summary is machine-generated.

This quality improvement project reduced the use of multilumen peripherally inserted central catheters (PICCs). The initiative favored single-lumen PICCs and midlines, leading to fewer central line-associated bloodstream infections (CLABSIs).

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Area of Science:

  • Medical Devices
  • Infection Control
  • Quality Improvement in Healthcare

Background:

  • Multilumen peripherally inserted central catheters (PICCs) are associated with increased risks.
  • Optimizing PICC utilization is crucial for patient safety and resource management.

Purpose of the Study:

  • To decrease the utilization of multilumen PICCs.
  • To promote the use of single-lumen PICCs and midline catheters.

Main Methods:

  • Implementation of a quality improvement project.
  • Optimization of electronic ordering systems.
  • Provider education and decision support interventions.

Main Results:

  • Reduced utilization of multilumen PICCs.
  • Shift in provider ordering patterns towards preferred devices.
  • Observed downward trend in central line-associated bloodstream infections (CLABSIs).

Conclusions:

  • Interventions effectively decreased multilumen PICC use.
  • Quality improvement strategies can alter clinical practice and reduce infection rates.
  • Single-lumen PICCs and midlines are viable alternatives to multilumen PICCs.