Variabilidad en la práctica clínica del mantenimiento de la permeabilidad de los catéteres venosos periféricos

Cabrero, Julio; Orts, M Isabel; López-Coig, M Luisa; Velasco, M Luisa; Richart, M. T.

doi:10.1157/13078037

Cited by 4 publications

(2 citation statements)

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“…In one study (Cabrero et al . ) on variability in the maintenance of peripheral venous catheters among units in a centre and among hospitals, a lack of consensus was found on how to maintain patency. In the same study, it was also reported that half of the variations were attributable to differences among hospitals, and that factors such as administrative region or hospital funding may have influenced the variability observed.…”

Section: Introductionmentioning

confidence: 99%

“…Few studies have determined variability in clinical nursing practice, and of these, most have simply demonstrated the existence of such variability while only a small number have attempted to identify the variables which could predict variability (Fern andez-de-Maya & Richard-Mart ınez 2012). In one study (Cabrero et al 2005) on variability in the maintenance of peripheral venous catheters among units in a centre and among hospitals, a lack of consensus was found on how to maintain patency. In the same study, it was also reported that half of the variations were attributable to differences among hospitals, and that factors such as administrative region or hospital funding may have influenced the variability observed.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with variability in management of vascular access ports

Fernández-de-Maya

Richart‐Martínez

2015

Eur J Cancer Care

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Guidelines and clinical practice recommendations vary on the management of vascular access ports. Traditionally, patient, health system and healthcare professional's factors have been interrelated in studies of clinical practice variability. Understanding variation in the management of vascular access ports and to identify the influence of these factors in the compliance with the most common recommendations of vascular access guidelines, is an important first step for designing targeted improvement interventions. We analysed data from a survey sent to all Spanish outpatient clinics. Overall, 185 units at Spanish outpatients clinics out of a total of 256 completed the survey. Geographical region and unit size are the most common associated factors in the management of vascular access ports and there is a low level of compliance with many of the recommendations given by guidelines. Large outpatient chemotherapy units have been related to higher monitoring of the recommendations. Clinical practice and provided care to patients with vascular access ports are influenced by region and structural and organisational differences in the outpatient chemotherapy units. It is important to identify additional factors that may explain the variability.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%