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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
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Comparative intervention assessing a catheter stabilization device on peripheral intravenous line loss
Gabriela M Wilson1, Rebecca P Winsett2, Bhumika Modi3
1Multi-Interprofessional Center for Health Informatics, The University of Texas at Arlington, Arlington, TX, USA.
The Journal of Vascular Access
|May 17, 2022
Summary
An engineered stabilization device for peripheral IVs may increase initial costs but extends IV dwell time, potentially reducing restarts and complications. Accurate documentation is crucial for quality assessment.
Area of Science:
- Medical Devices
- Nursing Practice
- Patient Care
Background:
- Short peripheral intravenous catheters are essential for medication and fluid delivery.
- Catheter failure can negatively impact patient care quality.
- Current stabilization methods require evaluation for improved outcomes.
Purpose of the Study:
- To compare the efficacy of an engineered stabilization device versus traditional transparent film dressings for peripheral IVs.
- To assess the impact of the device on IV dwell time, restart rates, and documentation quality.
Main Methods:
- A two-phase study evaluating documentation and measuring IV dwell time, restart rates, and time between IV loss and restarts.
- Comparison of IVs stabilized with transparent film dressing versus an engineered stabilization device.
- Analysis of patient records for documentation completeness, focusing on securement and removal.
Main Results:
- While restart rates showed no statistically significant difference, the engineered device prolonged IV dwell time.
- The engineered device extended the functional life of the IV, preventing care interruptions.
- The use of the engineered device increased the initial cost of IV starts.
Conclusions:
- Engineered stabilization devices may increase upfront costs but can reduce IV restarts and prevent complications.
- Prolonged IV dwell time with the device contributes to uninterrupted patient care.
- Accurate, unit-level data abstraction and clinical nurse involvement are vital for healthcare indicator capture and quality improvement.
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