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Published on: July 13, 2019
Medical Line Management in Critical Care Transportations: A Novel Securement Device.
Jillian Amoroso1, Jennifer Ernst1, Katie L Kunze1
1Mayo Clinic Arizona, Phoenix, USA.
A novel securement device significantly reduced medical line disconnections during intrahospital transport (IHT). Nurses reported improved efficiency and satisfaction when using the device for critically ill patients.
Area of Science:
- Nursing practice
- Patient safety
- Medical device innovation
Background:
- Intrahospital transport (IHT) of critically ill patients necessitates maintaining life-sustaining medical lines.
- Tangled medical lines during IHT pose risks and create workflow inefficiencies for healthcare providers.
Purpose of the Study:
- To evaluate a novel securement device's impact on medical line disconnections during IHT.
- To assess nurses' perceptions of transport efficiency with and without the securement device.
Main Methods:
- A randomized, descriptive, correlational study involving 142 patients in progressive and intensive care units.
- Measurement of accidental or manual medical line disconnections and nurses' perception of transport efficiency.
- Comparison between a group using a single-use securement device and a control group using standard practice.
Main Results:
- The intervention group experienced fewer manual disconnections compared to the control group.
- Nurses reported statistically significant improvements in transport efficiency when utilizing the securement device.
- Nurses expressed higher satisfaction rates with transport efficiency when the device was employed.
Conclusions:
- The single-use securement device effectively reduces medical line disconnections during IHT.
- Utilizing the device enhances nurses' satisfaction and perceived efficiency during patient transport.
- The device's benefits may extend to other healthcare settings with complex medical line management needs.
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