“Enter the Michigan Appropriateness Guide for Intravenous Catheters (‘MAGIC’), which was developed to determine when PICC insertion is appropriate, with the aim of reducing the incidence of the associated complications.10 11 Specifically, the major focus of MAGIC was to reduce the use of PICCs for less than 5 days or with multiple lumens and to avoid use in patients with chronic kidney disease.11 12 Implementation of MAGIC now includes online learning, access to subject matter experts, quarterly knowledge-sharing meetings, feedback on performance and pay-for-performance incentives.11 12 Initial research demonstrated preliminary evidence of effectiveness, reducing inappropriate PICC use by 13.8% in one hospital compared with nine control sites (OR 0.86; 95% CI 0.74 to 0.99). PICC line usage decreased and single lumen line use increased, but, although catheter occlusion fell significantly, VTE and CLABSI were not significantly reduced in this relatively small scale study,11 and until now, the impact on patient outcomes in a large number of patients across a range of hospitals had not been explored.”Reference:
Wilson P, Rhodes A. Peripherally inserted central catheters: spreading the MAGIC beyond Michigan. BMJ Qual Saf. 2022 Jan;31(1):5-7. doi: 10.1136/bmjqs-2021-013456. Epub 2021 Jun 16. PMID: 34916270.