Reduction of unnecessary intravenous catheter use. Internal medicine house staff participate in a successful quality improvement project
Archives of Internal MedicinePublished 22 August 1994
Connie M. Parenti
Citations110
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
This quality improvement effort successfully reduced unnecessary i.v. catheter use. We suspect that house-staff involvement in the intervention was critical. We encourage other academic medical centers to involve house staff in quality improvement activities to improve patient care and to enhance the education of house staff regarding quality improvement processes.
Keywords
Health Professions
Annals of Internal MedicineRisk Factors for Infusion-related Phlebitis with Small Peripheral Venous Catheters
495 Citations1991Dennis G. Maki, Marilyn Ringer
The use of peripheral intravenous catheters made of PEU-Vialon appears to pose the same risk for catheter-related infection as the use of catheter made of FEP-Teflon, and PEu- Vialon can permit longer cannulation with less risk for phlebitis.
New England Journal of MedicineRates of Needle-Stick Injury Caused by Various Devices in a University Hospital
418 Citations1988Janine Jagger, Ella H. Hunt +2 more
Characteristics of devices that caused needle-stick injuries in a university hospital over a 10-month period were identified and improvements could reduce the incentives for recapping needles and lower the risk of needle- stick injuries among health care workers.
The American Journal of MedicineA comparative study of polyantibiotic and iodophor ointments in prevention of vascular catheter-related infection
233 Citations1981Dennis G. Maki, Jeffrey D. Band
American Journal of EpidemiologyAN EPIDEMIOLOGIC STUDY OF THE RISKS ASSOCIATED WITH PERIPHERAL INTRAVENOUS CATHETERS
195 Citations1983Ira B. Tager, MICHAEL B. GINSBERG +5 more
Analysis of day-specific risk of phlebitis indicated that, for patients with low risk diagnoses, initial peripheral intravenous catheters might be left in place with relative safety for up to 96 hours, in all other circumstances, the current recommendation of 48-72 hours seems appropriate.
Archives of Internal MedicineIntravenous Therapy Team and Peripheral Venous Catheter—Associated Complications
181 Citations1984J. Walton Tomford
It is concluded that an IVT team can substantially reduce the iatrogenic complications related to IV catheters.
Infection ControlGuidelines for Prevention of Intravascular Infections
155 Citations1982Bryan Simmons, Thomas M. Hooton +2 more
The American Journal of MedicineComplications of intravenous therapy with steel needles and Teflon® catheters
137 Citations1981John Tully, Gerald Friedland +2 more
It is concluded that steel needles and small-bore Teflon catheters can both be used with low risk of infection and (2) thatTeflonCatheters more frequently cause phlebitis, whereas steel needles infiltrate more readily.
Annals of Internal MedicineThe Idle Intravenous Catheter
95 Citations1992Frank A. Lederle, Connie M. Parenti +2 more
The data suggest that IV are frequently used unnecessarily, and future efforts to reduce IV catheter complication rates should focus on reducing unnecessary use as well as on improving techniques to reduce infection rates when use is appropriate.
Annals of Internal MedicineGuidelines for Infection Control in Intravenous Therapy
84 Citations1973Donald A. Goldmann, Dennis G. Maki +4 more
Infusion-associated septicemia is an appreciable hazard to the more than 8 million patients who receive intravenous therapy in U.S. hospitals each year and Rigorous infection control measures are needed.
Survey of AnesthesiologyEvaluation of Dressing Regimens for Prevention of Infection with Peripheral Intravenous Catheters
64 Citations1988Dennis G. Maki, Martin Ringer
The data indicate that it is not cost-effective to redress peripheral venous catheters at periodic intervals; for most patients, either sterile gauze or a transparent dressing can be used and left on until the catheter is removed.
Annals of Internal MedicineGuideline-based Consultation To Prevent Anticoagulant-related Bleeding
56 Citations1992C. Seth Landefeld, Philip A. Anderson
Guidelines-based consultation was associated with reduction in the frequency of anticoagulant-related bleeding in patients at increased risk for major in-hospital bleeding and improved housestaff learning.
The Medical Journal of AustraliaSystemic sepsis and intravenous devices
54 Citations1984Peter Collignon, Rosemary Munro +1 more
It is concluded that continued education of resident and nursing staff is essential to minimize the risk of intravenous catheter‐related sepsis.
The American Journal of MedicineEvidence for an informal clinical policy resulting in high use of a very-low-yield test
13 Citations1985Eugene C. Rich, Terry W. Crowson +1 more
For at least six years, most medicine and neurology house staff have commonly applied an informal clinical policy of routinely culturing cerebrospinal fluid specimens for mycobacteria, despite a low suspicion of disease, lack of faculty support for the practice, and a zero yield for the test.
Journal of General Internal MedicineGauze vs. plastic for peripheral intravenous dressings
11 Citations1987Benjamin Littenberg, L Thompson
Dry gauze dressings resulted in longer catheter life, lower complication rates, and less expense than transparent plastic dressings for peripheral intravenous catheters.
