Comparison of Utilization and Safety of Peripherally Inserted Central Catheters Versus Midline Catheters in a Large Academic Medical Center

DiNucci, Susan; Messer, Gwen; Xu, Tianyuan; Shutt, Kathleen A.; Ferrelli, Juliet; Andrzejewski, Christina; Yassin, Mohamed

doi:10.1016/j.ajic.2016.04.073

American Journal of Infection Control

2016

DOI: 10.1016/j.ajic.2016.04.073

|View full text |Cite

Comparison of Utilization and Safety of Peripherally Inserted Central Catheters Versus Midline Catheters in a Large Academic Medical Center

Susan DiNucci

Gwen Messer

Tianyuan Xu

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2021

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[6][7][8][9][10][11][12][13] Peripherally inserted central catheters are associated with increased morbidity and healthcare costs. 1,[14][15][16][17][18][19] Compared with SPCs, PICCs confer an increased risks of deep vein thrombosis (DVT) and bloodstream infections (BSI), termed central line-associated BSIs (CLABSI). 14,[18][19][20][21] Central line-associated BSIs are among the most costly healthcare associated infection and increase morbidity, mortality, and hospital length of stay.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access

et al. 2021

View full text Add to dashboard Cite

ObjectivesDifficult intravenous (IV) access (DIVA) is a prevalent condition in the hospital setting and increases utilization of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Ultrasound-guided peripheral intravenous (USGPIV) insertion is effective at establishing intravenous access in DIVA but remains understudied in the inpatient setting. We evaluated the effect of an USGPIV simulation-based mastery learning (SBML) curriculum for nurses on MC and PICC utilization for hospitalized patients.MethodsWe performed a quasi-experimental observational study. We trained nurses across all inpatient units at a large tertiary care hospital. We queried the electronic medical record to compare PICC and MC utilization for patients with DIVA during 3 periods: before USGPIV SBML training (control), during pilot testing of the intervention, and during the SBML intervention. To account for variations in insertion practices over time, we performed an interrupted time series (ITS) analysis between 2 periods, the combined control and pilot periods and the intervention period.ResultsOne hundred forty-eight nurses completed USGPIV SBML training. Midline catheters inserted monthly per 1000 patient-days for DIVA decreased significantly from 1.86 ± 0.51 (control) to 2.31 ± 0.28 (pilot) to 1.33 ± 0.51 (intervention; P = 0.001). The ITS analysis indicated a significant intervention effect (P < 0.001). Peripherally inserted central catheters inserted monthly per 1000 patient-days for DIVA also significantly decreased over the study periods; however, the ITS failed to show an intervention effect as PICC insertions were already decreasing during the control period.ConclusionsA hospital-wide USGPIV SBML curriculum for inpatient nurses was associated with a significant reduction in MCs inserted for DIVA.

show abstract

mentioning

confidence: 99%

“…Peripherally inserted central catheters are associated with increased morbidity and healthcare costs 1,14–19 . Compared with SPCs, PICCs confer an increased risks of deep vein thrombosis (DVT) and bloodstream infections (BSI), termed central line–associated BSIs (CLABSI) 14,18–21 .…”

mentioning

confidence: 99%

Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access

et al. 2021

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Comparison of Utilization and Safety of Peripherally Inserted Central Catheters Versus Midline Catheters in a Large Academic Medical Center

Cited by 1 publication

References 0 publications

Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access

Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access

Contact Info

Product

Resources

About