Hot Off the Press: Peripheral Intravenous Cannula Insertion and Use in the Emergency Department |
| |
| Authors: | Sahaana Rangarajan MD Justin Morgenstern MD William K. Milne MD Corey Heitz MD |
| |
| Affiliation: | 1. Department of Emergency Medicine, Markham Stouffville Hospital, Markham, Ontario, Canada;2. Department of Emergency Medicine, University of Western Ontario, Goderich, Ontario, Canada;3. Department of Emergency Medicine, Carilion Clinic, Roanoke, VA |
| |
| Abstract: | This is a prospective before–after study comparing peripheral intravenous cannulation (PIVC) placement and usage rates following a 10‐week‐long multimodal intervention provided to medical and nursing staff working in a tertiary emergency department (ED). The intervention focused on improving appropriate use of PIVCs in an emergency setting by emphasizing to clinicians that a PIVC should only be placed if it was believed there was more than an 80% chance that it would be used. Patients were eligible for the study if they presented to the ED and were >18 years of age. Patients were excluded from the study if they were triage category 1, already had a PIVC placed in an ambulance, or were transferred from another hospital. Among the 4,172 patients included in the analysis, there was a 9.8% reduction in the number of PIVCs inserted (95% confidence interval [CI] = 6.8–12.87) and a 12% increase in PIVC usage (95% CI = 8.7%–17.0%) in the postintervention cohort. |
| |
| Keywords: | |
|
|
