Promoting appropriate midline catheter and PICC placement through implementation of an EHR‐based clinical decision support tool: An interrupted time‐series analysis

Abstract

Background: Inappropriate use of peripherally inserted central catheters (PICCs), including multilumen PICCs, may increase the risk of patient complications. Objective: Implement computerized decision support to: (a) increase the use of midline catheters over PICCs when appropriate and (b) decrease PICC lumens when a PICC is necessary. Designs: Quasi-experimental, interrupted time series. Setting: Single tertiary academic medical center. Patients: Hospitalized adults who received a midline or PICC during clinical care.Intervention: Decision support on appropriate vascular access device choice via a set of electronic orders embedded within the electronic health record.