Home parenteral nutrition best practice examples – Full Text
“This article is based on presentations and discussions held at the International Safety and Quality of PN Summit, providing insights into aspects of home PN (HPN) and examples of good HPN practice” Kumpf et al (2024).
Intravenous protection device to prevent self-injection – Full Text
“The misuse of medical IV access is a potential source of prolonged hospitalizations and fatal overdoses nationwide. On two separate occasions, patients were found dead in our ED bathroom after overdosing by accessing their IV site for self-injection. These events prompted the development of the IV SafeLock prototype” Bragg et al (2024).
Needlestick injuries in medical school – Full Text
“The aim was to determine numbers and causes of NSIs as well as the frequency with which medical students report NSIs in the final stages of study” Keicher et al (2024).
Microplastics from neonatal parenteral nutrition circuit – Full Text
“The leaching of particles from plastic health care equipment in the blood of intensive care patients has been associated with several health risks, and as such, similar health risks could occur with leaching of microplastics” Vercauteren et al (2024).
CIMUS consensus statement on POCUS competencies – Full Text
“The CIMUS group recommends 28 competencies be considered mandatory and 3 as optional for internal medicine physicians performing POCUS guided thoracentesis, paracentesis, and CVC placement” Canadian Internal Medicine Ultrasound (2024).
Catheter-related superior vena cava syndrome case study – Full Text
“Here we present a case of a patient on maintenance hemodialysis who developed catheter-related superior vena cava syndrome and subsequently suffered from hemorrhagic pericardial tamponade after undergoing percutaneous transluminal angioplasty and stenting” Zhao and Wang (2024).
Ultrasound guided implantation of venous access ports – Full Text
“The aim of this study was to present demographic information of patients undergoing totally implantable venous access port (TIVAP) implantation and to investigate the rates of early and late complications, assessing the benefits of performing the procedure under US guidance” İlhan et al (2024).
PICC insertion in patients with chronic kidney disease
“Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease” Ajello et al (2024).
Midline catheter insertion simulation-based learning method
“This study aimed to propose and assess a simulation-based learning method for the placement of MCs in novice practitioners” Slosse et al (2024).
Pediatric hemolyzed laboratory samples in ED – Full Text
“Hemolysis in the pediatric ED population is a frequent complication that occurs at similar rates as in adults. PIVCs placed in the hand/wrist were associated with higher odds of hemolysis compared to those placed in the antecubital fossa” Mielke et al (2024).
Limb length discrepancy after intraosseous line placement
“We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest” Kleinsmith and Kowalski (2024).
Elastomeric pump use in home-based palliative care
“We aimed to evaluate the cost associated to the repeated filling of EIP used in a home-based palliative care team” Simões et al (2024).
Peripheral intravenous catheter dwell time
“This review examines the differences in dwell times between traditional PIVCs and ultrasound-guided PIVCs (USGPIVCs) and their implications for patient care” Harrell (2024).
Health-related quality of life in OPAT patients
“OPAT is associated with improved patient-reported quality of life and facilitates early return to work or school. Nevertheless, it is crucial to closely monitor patients with a lower baseline quality of life to optimize their overall OPAT experience” Durojaiye and Kritsotakis (2024).
Reducing umbilical catheter migration – Full Text
“This study evaluates the effectiveness of a novel device, LifeBubble, in reducing umbilical cord catheter (UC) migration and associated complications in neonates” Perl et al (2024).
Risk of PICC complications in cancer patients
“To identify the trends in the prevalence of peripherally inserted central catheter (PICC) related complications in cancer patients and explore the risk factors for complications and occurrence speed” Nie et al (2024).
IV pumps and filters for stem cell infusion
“A nurse-driven quality improvement project sought to determine whether peristaltic pumps and filtered tubing compromised the safety of stem cell infusion” Miles and Hoffman (2024).
Environmental impact of blood transfusion
Environmental impact of blood transfusion Abstract: Background: Healthcare activities significantly contribute to greenhouse gas (GHG) emissions. Blood transfusions require complex, interlinked processes to collect, manufacture,
CVC placement with eye-tracking glasses
“In this observational study, the study authors describe their experience using first-person wearable video-recording technology to precisely measure the timing of discrete events during CVC placement by anesthesia residents and anesthesiologists” Vergara-Escudero et al (2024).
CLABSI rates compared with hospital-onset bloodstream infections – Full Text
“To evaluate the comparative epidemiology of hospital-onset bloodstream infection (HOBSI) and central line-associated bloodstream infection (CLABSI)” Krishnan et al (2024).
Peripheral arterial catheter securement
“Peripheral arterial catheters (PACs), and their associated complications, are common in the pediatric intensive care unit (PICU). Accidental catheter displacement and non-functional PACs are the most common complications, and this may be related to inadequate catheter securement” Pilarz et al (2024).
Joint Commission accreditation and CLABSI rates
“This study evaluated the relationship between Joint Commission accreditation and health care-associated infections (HAIs) in long-term care hospitals (LTCHs)” Schmaltz et al (2024).
How clinicians adapt to new peripheral IV cannula – Full Text
“The study aims to explore clinicians’ experience with the insertion of a new guidewire peripheral intravenous catheter (PIVC) introduced in the emergency department (ED) setting” Xu et al (2024).
Infusion set replacement interval study protocol – Full Text
“Therefore, the objective of this trial is to compare the efficacy of 24-h and 96-h replacement intervals for infusion sets on CLABSI among critically ill adults who have central venous access devices” Xu et al (2024).
Umbilical vascular catheter adverse events – Full Text
“Adverse events related to insertion occurred in a relatively high percentage of umbilical catheters placed. Increased dwell time remains a significant risk factor for catheter migration and overall failure” Gibson et al (2024).
Central venous catheter-related thrombosis guidelines – Full Text
“The overall quality of the guidelines is high, but there are few preventive measures for central venous CRT involved in the guidelines. All preventive measures have yet to be systematically integrated and evaluated, and no risk assessment scale dedicated to this field has been recommended” Zhang et al (2024).
Vascular access type for melflufen administration – Full Text
“Melflufen PVC and CVC administrations are bioequivalent based on melphalan pharmacokinetic parameters. Melflufen via PVC was well tolerated, with no infusion-related reactions or new safety signals and may represent an alternative route of administration” Pour et al (2024).
AI-assisted CLABSI surveillance
“AI shows promise in enhancing HAI surveillance, potentially streamlining tasks, and freeing health care staff for patient-focused activities. Effective AI use requires user education and ongoing AI model refinement” Wiemken and Carrico (2024).
Virtual reality for procedural pain management
“VR as a non-pharmacological adjunct reduced some procedure-related pain and anxiety without increasing the procedural duration” Schaake et al (2024).
OPAT services in Germany – Full Text
“The study demonstrates that OPAT can be safely conducted in Germany. In preparation for its broader implementation, crucial next steps include creating medical guidelines, fostering interdisciplinary and inter-sectoral communication, as well as creating financial and structural regulations that facilitate and encourage the adoption of OPAT” Schmidt-Hellerau et al (2024).
CLABSI burden outside acute care hospitals
“Surveillance is required to understand the burden of CLABSI in the community to identify targets for CLABSI prevention initiatives outside acute care settings” Oladapo-Shittu et al (2024).
Nursing care of patients with peripherally inserted central catheter
“Patients in the observation group had reduced NPRS, SAS, SDS and PFS-R scores, total incidence of unplanned extubation of PICC and the total incidence of catheter-related complications, and a higher nursing satisfaction rate in comparison to those in the control group” Li et al (2024).
Peripheral IV access for ED patients with septic shock – Full Text
“Importantly, even with these reassuringly low rates of serious complications from peripheral vasopressors, this same meta-analysis also discovered that there were fewer complications (extravasation and thrombosis) in studies reporting infusion safety guidelines” Waxman and Schechter-Perkins (2024).
Aseptic blood culture collection study – Full Text
“On analysis, the blood culture contamination rate in the pre-interventional phase dropped drastically from 6.16% to 3.03% in the post-interventional phase. The educational sessions conducted are a paramount reason for the reduction in the contamination rate” Kumthekar et al (2024).
CVC in the management of septic shock – Full Text
“Peripheral catheters, such as peripheral intravenous catheters and midline catheters, have been separately purported to be safer, quicker to insert, and equally useful as central venous catheters. However, both peripheral intravenous catheters and midline catheters carry very real risks and cannot match the central venous catheter’s utility” Wu and Sefa (2024).
Aluminum content in parenteral nutrition components – Full Text
“Parenteral nutrition (PN) can lead to high or even toxic exposure to aluminum (Al). We aimed to quantify concentrations of Al and other chemical elements of all-in-one (AIO) PN admixtures for adults prepared from commercial multichamber bags” Schönenberger et al (2024).
Brazilian nosocomial infection surveillance system – Full Text
“While adherence to HAI report is improving among Brazilian states, an important room for improvement in the Brazilian NNIS exists. Additional efforts should be made by the Brazilian government to improve the reliability of HAI data, which could serve as valuable guidance for hospital infection prevention and control policies” Silva et al (2024).
Central line repair in pediatric patients
“Central line catheter repair can be performed successfully by pediatric emergency physician with minimal complications. A dedicated process of repair tutoring is required and may avoid infectious complications” Baer and Weiser (2024).
Extravasation after [177Lu]Lu-HA-DOTATATE therapy
“Extravasation of the radiopharmaceutical during peptide receptor radionuclide therapy infusion is an unwanted infrequently reported event. We present the case of a 74-year old woman with a neuroendocrine tumor who was referred for peptide receptor radionuclide therapy” de Vries-Huizing et al (2024).
Scarless totally implantable access port implantation – Full Text
“The scarless TIVAP implantation is a safe & reliable procedure with high patients-reported aesthetic satisfaction, and could be an alternative TIVAP procedure for patients requiring chemotherapy and desiring a less noticeable scar” Chang et al (2024).
Sprint team approach to CLABSI reduction
“Sprint teams, a novel approach to rapidly develop a checklist for lower-performing care improvement areas, were implemented after an internal review of existing tools and an evidence-based literature review” Sharieff and Uejo (2024).
Antibiotic treatment options for hospitalized persons who inject drugs
“Persons who inject drugs (PWID) are at risk for severe gram-positive infections and may require prolonged hospitalization and intravenous (IV) antibiotic therapy. Dalbavancin (DBV) is a long-acting lipoglycopeptide that may reduce costs and provide effective treatment in this population” Donnelly et al (2024).
Risk factors for arterial catheter failure – Full Text
“Arterial catheters (ACs) are critical for haemodynamic monitoring and blood sampling but are prone to complications. We investigated the incidence and risk factors of AC failure” Schults et al (2024).
Peripheral cannula-related infection prevention – Full Text
“The finding of this study revealed that nearly half of the nurses had poor knowledge and practice in intravenous cannula-related infection prevention. As a result, hospital administrators and other concerned stakeholders better to prepare and ensure that guidelines are available, provide training, and develop the educational levels of nurses” Dessalegn et al (2024).
Medication administration errors in children – Full Text
“Medication error prevention strategies should target intravenous administrations and not neglect older children in hospital. Attention to nurses’ work environments, including improved design and integration of medication technologies, is warranted” Westbrook et al (2024).
IV infusion methods for low-resource environments – Full Text
“By conducting a comparative assessment of IV infusion methods, we analyzed the efficacy of different devices and identified one that most effectively bridges the gap between accuracy, cost, and electricity reliance in low-resource environments” Tomobi et al (2024).
Infusion-related reactions in cancer therapy – Full Text
“Several anticancer therapies have the potential to cause infusion-related reactions (IRRs) in the form of adverse events that typically occur within minutes to hours after drug infusion” Barroso et al (2024).
Hickman catheter complications in pediatric cancer patients
“This study aimed to identify the frequency, severity, and risk factors associated with Hickman catheter-related complications in children with hemato-oncological malignancies at the largest pediatric tertiary care unit in Bosnia and Herzegovina” Zvizdic et al (2024).
Vasopressors administration via peripheral intravenous catheter
“Peripheral administration of norepinephrine traditionally has been avoided, given the concerns for extravasation, arterial and venous constriction, tissue necrosis, and limb ischemia” Darwish and Karamchandani (2024).
Stigma within inpatient care for people who inject drugs – Full Text
“While existing literature predominantly addresses personal and interpersonal stigma, the influence of structural stigma on care delivery practices remains understudied. Our research aims to investigate the impact of structural stigma on care processes for individuals with SUD admitted to acute medicine units” Rehman et al (2024).
CLABSI diagnosis and central line salvage
“Central line salvage can be safely attempted for many infections in patients with intestinal failure, leading to vascular access preservation” Larson-Nath et al (2024).
Inopressor stability in commercial plastic syringes
“Several studies have documented the stability of these medications in plastic bags for infusions, supporting compounded pharmacy and industry preparations. The introduction of smart syringe infusion pumps has allowed for accurate lower infusion rates and decreased volume load but with a requirement of higher medication concentrations” Neira et al (2024).