Please use this identifier to cite or link to this item:
|Title:||Human factor-designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion.|
|Authors:||Egerton-Warburton, Diana;McAllan, Fern;Ramanan, Radha;Lim, Zheng Jie;Nagle, Daniel;Dendle, Claire;Stuart, Rhonda|
|Affiliation:||Monash Infectious Diseases, Monash Health, Melbourne, Victoria, Australia|
Emergency Department, Monash Health, Melbourne, Victoria, Australia
School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia
Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia
Faculty of Medicine, Monash University, Melbourne, Victoria, Australia
Department of Haematology, Austin Health, Heidelberg, Victoria, Australia
|Citation:||Emergency medicine Australasia : EMA 2018; online first: 12 September|
|Abstract:||Our objective was to examine the impact of a human factor-designed multimodal intervention on the proportion of unused peripheral i.v. cannula (PIVC) insertion in our ED. A pre- and post-multimodal intervention retrospective cohort study was conducted using a structured electronic medical record review within a single adult tertiary ED in Australia. Pre-intervention data was collected 30 days prior to the multimodal intervention, with 30 day post-intervention data collected 3 months after the intervention commenced. The rates of PIVC inserted, the unused rate and the unused but appropriately inserted cannulas were the main outcome measures. Intravenous cannula insertion rates decreased by 12.9% (95% confidence interval [CI] 12.19-13.61) between the pre-intervention (1413/4167 [33.9%]; 95% CI 32.5-35.4) and post-intervention cohort (928/4421 [21.0%]; 95% CI 19.8-22.2). An analysis of 754 cases (376 pre-intervention and 378 post-intervention) showed that 139 of 376 (37.0%; 95% CI 32.1-42.1) i.v. cannulas were unused pre-intervention, while 73 of 378 (19.3%; 95% CI 15.4-23.7) was unused post-intervention; an absolute reduction of 17.7% (95% CI 14.98-20.42). The relative risk of an unused i.v. cannula was 0.52 (95% CI 0.41-0.67). The proportion of unused but appropriately inserted i.v. cannulas remained unchanged in both cohorts, with a relative risk of 0.91 (95% CI 0.58-1.42). Our multimodal intervention successfully reduced the number of unused PIVCs inserted in the ED, with a reduction in overall and unused PIVC insertions without any change in appropriate insertions.|
peripheral intravenous cannula
|Appears in Collections:||Journal articles|
Files in This Item:
There are no files associated with this item.
Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.