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Early notification of extravasation events

extravasation

“Continuous infusion site monitoring using the ivWatch suggests this technology offers the potential to detect PIVIE events earlier than relying on intermittent observation alone” van Rens et al (2023).

Sterile intravenous admixture compounding

drug aministration

“This article in an overall series on the topic of intravenous admixture compounding will discuss the vehicles commonly used in intravenous admixtures, as well as the small-volume parenterals often used in compounding intravenous admixtures” Allen (2023).

CLABSI rates in minoritized racial groups

clabsi

“The study’s findings show disparities in CLABSI rates for Black patients and patients who speak an LOE that persisted after adjusting for known risk factors” McGrath et al (2023).

CLABSI reduction in a medical intensive care unit

clabsi

“The project successfully decreased the CLABSI rate and increased the competence of healthcare professionals. Implementation of best practices in clinical care should focus on leadership, team resource management, education, monitoring, and innovation” Hsieh et al (2023).

Implantable port flushing training course – Full Text

iv port

“The interactive visual training course, including maintenance lectures and practice with a 3-D simulator, improved consensus among the nursing staff and increased the willingness of oncology nurses to perform the proposed port irrigation procedure” Wu et al (2023).

Infusion set change frequency

infusion

“Most ICUs participating in this survey had policies to change their CVC infusion tubing in 3-4 days, and recent high-level evidence supports an update to extend this to 7 days” Anstey et al (2023).

Study or HAI frequency in ICU

clabsi

“Positive safety culture and better nurse staffing levels can lower the rates of HAIs in ICUs. Improvements to nurse staffing will reduce nursing workloads, which may reduce missed care, increase job satisfaction, and, ultimately, reduce HAIs” Alanazi et al (2023).

Blood sample contamination with IV fluids

blood sampling

“Contamination of blood samples from patients receiving intravenous fluids is a common error with potential risk to the patient. Algorithms based on the presence of aberrant results have been described but have the limitation that not all infusion fluids have the same composition” Rios Campillo et al (2023).

OSHA bloodborne pathogen standards – Full Text

needlestick

“This activity reviews the elements of the Bloodborne Pathogens Standard. It highlights the role of the interprofessional team in reducing or eliminating the risk of occupational exposure to infectious materials and a wide range of diseases” Denault and Gardner (2023).

PICC CLABSI rate in cancer patients – Full Text

CLABSI

“In conclusion, the incidence rate of PICCR-BSI is higher in cancer patients treated with chemotherapy than in noncancer patients, but our results also highlight the importance of limiting the number of PICC lumens in such patients” Larcher et al (2023).

Optimizing betalactam IV administration – Full Text

Drug administration

“Clinical data appear to confirm those of PK/PD to use a continuous infusion in severely ill patients or those infected by an organism with an elevated MIC, as it is associated with higher survival rates” Diamantis et al (2023).

PICC diameter and UEDVT rate – Full Text

picc

“We assessed the relationship between peripherally inserted central catheter (PICC) diameters and symptomatic deep vein thrombosis (DVT) rates” Bahl et al (2023).

CLABSI reduction using disinfecting caps – Full Text

CLABSI

“This study provides real-world evidence that implementing a disinfecting cap to protect IV access points effectively reduces the risk of CLABSIs in hospitalized patients compared to standard care, ultimately optimizing the utilization of healthcare resources, particularly in situations where the healthcare system is under significant strain or overloaded” Hou et al (2023).

Nurses experience of intraosseous access – Full Text

intraosseous

“Our findings highlighted a sub-optimal level of knowledge of the IO procedure, little experience of this practice in clinical contexts, also associated with a lack of adequate protocols and devices available to nurses” Cicolini et al (2023).

Central venous catheter thrombosis case study – Full Text

UEDVT

“We describe two cases of CVC-related thrombosis (Hickman-catheter) complicated by recurrent pulmonary emboli. One patient experienced a complete thromboembolic obstruction of the right pulmonary artery with normal pulmonary pressures and the second patient suffered from a central thromboembolic obstruction of both pulmonary arteries associated with severe pulmonary hypertension” Hanuna et al (2023).

Blood culture technique and contamination rates

blood sampling

“Blood cultures obtained using the one-puncture method resulted in significantly fewer contaminants and detected relevant pathogens equally to the two-puncture method” Andersson Norlén et al (2023).

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