Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study

Hawkins, Tracey, Greenslade, Jaimi H., Suna, Jessica, Williams, Julian, Rickard, Claire M., Jensen, Matthew, Donohue, Maria, Cho, Elizabeth, Van Hise, Christopher, Egerton-Warburton, Diana and Cullen, Louise (2018) Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. Academic Emergency Medicine, 25 1: 26-32. doi:10.1111/acem.13335


Author Hawkins, Tracey
Greenslade, Jaimi H.
Suna, Jessica
Williams, Julian
Rickard, Claire M.
Jensen, Matthew
Donohue, Maria
Cho, Elizabeth
Van Hise, Christopher
Egerton-Warburton, Diana
Cullen, Louise
Title Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study
Journal name Academic Emergency Medicine   Check publisher's open access policy
ISSN 1069-6563
1553-2712
Publication date 2018-01-01
Year available 2018
Sub-type Article (original research)
DOI 10.1111/acem.13335
Open Access Status Not yet assessed
Volume 25
Issue 1
Start page 26
End page 32
Total pages 7
Place of publication Hoboken, NJ., United States
Publisher Wiley-Blackwell Publishing
Language eng
Abstract OBJECTIVES: The objective was to examine cannulation practice and effectiveness of a multimodal intervention to reduce peripheral intravenous cannula (PIVC) insertion in emergency department (ED) patients. METHODS:A prospective before and after study and cost analysis was conducted at a single tertiary ED in Australia. Data were collected 24 hours a day for 2 weeks pre- and post implementation of a multimodal intervention. PIVC placement and utilization within 24 hours were evaluated in all eligible patients. RESULTS:A total of 4,173 participants were included in the analysis. PIVCs were placed in 42.1% of patients' pre intervention and 32.4% post intervention, a reduction of 9.8% (95% confidence interval [CI] = 6.8 to -12.72%). PIVC usage within 24 hours of admission was 70.5% pre intervention and 83.4% post intervention, an increase of 12.9% (95% CI = 8.8% to 17.0%). Sixty-six patients were observed in the ED for cost analysis. The mean time per PIVC insertion was 15.3 (95% CI = 12.6 to 17.9) minutes. PIVC insertion cost, including staff time and consumables per participant, was A$22.79 (95% CI = A$19.35 to A$26.23). CONCLUSIONS:The intervention reduced PIVC placement in the ED and increased the percentage of PIVCs placed that were used. This program benefits patients and health services alike, with potential for large cost savings.
Keyword Cricoid Pressure
Gastric Contents
Regurgitation
Intubation
Aspiration
Induction
Efficacy
Stomach
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID EMPJ-310R23-2015-CUL-LEN
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Sat, 27 Jan 2018, 23:17:23 EST