Fluid balance

Septic shock fluid resuscitation

“In septic shock patients, an initial fluid resuscitation rate of 20-30 mL/kg within the first hour may be associated with reduced 28-day mortality; however, this result needs to be confirmed by further high-quality randomized controlled clinical trials” Wang et al (2021).

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picc care

Antimicrobial PICC

“After 30 months of data collection, the PICC CLABSI incidence reduced from a baseline rate of 1.83/1000 PICC days to 0.162/1000 PICC days (91.15% reduction, P = 0.0002)” DeVries and Sleweon (2021).

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CRBSI

Vascular access for vasopressors

“We identify several important risk factors that may help guide clinicians deciding between peripheral and central venous catheter administration, and present a predictive model that may inform future prospective trials” Haimovich et al (2021).

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needlestick

Saphenous venous cannulation

“The study investigated the success rate of the great saphenous venous catheter placement performed by ultrasound-assisted technique compared with the conventional puncture method in infants and toddlers” Bian et al (2021).

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PICC

Implantable port abandoned for five years

“The nurse evaluated the TIVAD upon admission, finding that the skin around the reservoir was normal without any sign of infection as erythema or induration of the skin overlying the implantable port but there was intraluminal occlusion of the devices” He (2021).

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Living with a port

“Although the overall satisfaction was high(78.5%), 82(63.1%)patients reported difficulties in daily life, such as”pain or discomfort,””irritation over the implanted area while wearing a seat belt,”and”unable to wear a bag across their bodies” Hasegawa et al (2021).

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Vascular access team benefits

“The survey results highlight some of the potential benefits of implementing a dedicated VAT including use of a broader range of vascular access devices, increased awareness of the presence of vascular access policies, increased likelihood of recent vascular access training, and increased rates of systematic monitoring of associated complications” Cortés et al (2021).

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Phlebotomy service patient satisfaction

“The objective of this study was to use process cycle efficiency (PCE) to assess the performance of an intelligent tube preparation system (ITPS) which automatically labeled test tubes and conducted patient rerouting for phlebotomy services, and to interpret the WT during peak hours” Wu et al (2021).

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OPAT quality indicators

“The aim of this study was to evaluate the clinimetric properties of 33 quality indicators (QIs) developed to assess Outpatient Parenteral Antimicrobial Therapy (OPAT) and to identify potential room for improvement in a hospital-at-home (HaH) unit” March-López et al (2021).

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Central line insertion simulator

“The Dynamic Haptic Robotic Trainer (DHRT) was developed to minimize the up to 39% of adverse effects experienced by patients during Central Venous Catheterization (CVC) by standardizing CVC training, and provide automated assessments of performance” Gonzalez-Vargas et al (2021).

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PICC tip location

“Our study shows that ML classifiers can automatically extract the anatomical location of PICC tips from radiology reports” Shah et al (2021).

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