Awareness of Peripheral IV Catheters Among Nurses, Physicians, and Trainees: A Prospective Cohort Study.
Clinician Awareness
Hospital-Acquired Complications
Intravenous Access
Patient Safety
Peripheral intravenous catheters (PIV)
Vascular Access Devices
Journal
American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854
Informations de publication
Date de publication:
04 Jun 2024
04 Jun 2024
Historique:
received:
18
01
2024
revised:
24
05
2024
accepted:
25
05
2024
medline:
7
6
2024
pubmed:
7
6
2024
entrez:
6
6
2024
Statut:
aheadofprint
Résumé
Peripheral intravenous catheters (PIVs) are the most frequently used invasive device in hospitalized patients. These devices are not benign and may put patients at risk of serious complications. However, clinician awareness of their presence is variable and poorly understood. We conducted a prospective, multi-center, observational point prevalence study to assess awareness of PIV presence among clinicians caring for hospitalized patients in four hospitals between 05/2018 and 02/2019 located in Michigan, United States of America. We first assessed patients for presence of a PIV then interviewed their providers. Differences in awareness by provider type was assessed via chi-square tests; p< 0.05 was considered statistically significant. Analyses were performed on Stata MP v16 (College Station, TX). A total of 1,385 patients and 4,003 providers were interviewed. Nurses had the greatest awareness of overall PIV presence, 98.6%, while attendings were correct 88.1% of the time. Nurses were more likely to correctly assess PIV presence and exact location than physicians (67.7% vs. < 30% for all others). Awareness of PIV presence did not significantly vary among providers in patients with multiple vascular access device(s), on contact precautions, or those receiving active infusions. Given the ubiquity of PIVs and known complications, variable awareness of vascular devices is problematic. Methods to increase awareness to ensure appropriate care and removal appear necessary.
Sections du résumé
BACKGROUND
BACKGROUND
Peripheral intravenous catheters (PIVs) are the most frequently used invasive device in hospitalized patients. These devices are not benign and may put patients at risk of serious complications. However, clinician awareness of their presence is variable and poorly understood.
METHODS
METHODS
We conducted a prospective, multi-center, observational point prevalence study to assess awareness of PIV presence among clinicians caring for hospitalized patients in four hospitals between 05/2018 and 02/2019 located in Michigan, United States of America. We first assessed patients for presence of a PIV then interviewed their providers. Differences in awareness by provider type was assessed via chi-square tests; p< 0.05 was considered statistically significant. Analyses were performed on Stata MP v16 (College Station, TX).
RESULTS
RESULTS
A total of 1,385 patients and 4,003 providers were interviewed. Nurses had the greatest awareness of overall PIV presence, 98.6%, while attendings were correct 88.1% of the time. Nurses were more likely to correctly assess PIV presence and exact location than physicians (67.7% vs. < 30% for all others). Awareness of PIV presence did not significantly vary among providers in patients with multiple vascular access device(s), on contact precautions, or those receiving active infusions.
CONCLUSIONS
CONCLUSIONS
Given the ubiquity of PIVs and known complications, variable awareness of vascular devices is problematic. Methods to increase awareness to ensure appropriate care and removal appear necessary.
Identifiants
pubmed: 38844143
pii: S0196-6553(24)00532-7
doi: 10.1016/j.ajic.2024.05.018
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest Megan Heath has received grant support from Blue Cross and Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program. The remaining authors report no conflict of interest.