Variation of PICC use across ten different hospitals

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Consequently, little is known about variation in PICC use or outcomes across hospitals” Chopra et al (2016).

Extract:

This multicenter study examines whether recently developed and evolving guidelines may reduce current substantial variation in indications, patterns of use, and outcomes of the use of peripherally inserted central catheters.

Use of peripherally inserted central catheters (PICCs) has grown substantially in hospitalized medical patients.1,2 However, data regarding PICC placement largely originate from single-center experiences or studies of highly select populations and outcomes.3 Consequently, little is known about variation in PICC use or outcomes across hospitals. To examine this, we conducted a prospective study at 10 hospitals through the Michigan Hospital Medicine Safety (HMS) Consortium, a quality–improvement initiative dedicated to preventing adverse events in hospitalized medical patients.

Reference:

Chopra, V., Smith, S., Swaminathan, L., Boldenow, T., Kaatz, S., Bernstein, S.J. and Flanders, S.A. (2016) Variations in Peripherally Inserted Central Catheter Use and Outcomes in Michigan Hospitals. JAMA. February 15th. [epub ahead of print].

doi:10.1001/jamainternmed.2015.8402

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