Bundle intervention decreases central line-associated bloodstream infections
“A bundled intervention consisting of 3 components was implemented as part of the program. It consisted of a multifaceted approach that targeted clinician use of
Comparison of heparin and sodium chloride flushing solutions
“This study aimed to determine the effect of heparin saline solution and normal saline in maintenance of patency of central venous catheters” Heidari Gorji et
Surveillance of neonatal healthcare-associated infections
“The aim of this study was to evaluate and describe the results of surveillance of HAIs in a III level NICU in Naples, Italy during
Estimation of central venous catheter insertion depth during ultrasound-guided subclavian catheterization
“The appropriate length of a CVC inserted through the subclavian vein can be estimated by a formula using ultrasound images and CXR” Shin et al
CLABSI rate increase associated with a high turnover of the nursing team
“Our results reveal the deleterious impact of the reorganization during the hospital moving on the CRBSI incidence rate, and the possible implication of inexperienced team
Immediate access arteriovenous grafts versus tunnelled central venous catheters
“Patients with end-stage renal disease needing urgent vascular access therefore traditionally require insertion of a tunnelled central venous catheter (TCVC). TCVCs are associated with high
Cultures of needleless connectors to determine central venous catheter colonization
“Cultures of closed NCs can be used to rule out catheter tip colonization and are superior to hub cultures in ruling out short-term central venous
Impact of bundles on the prevention of HAI in the intensive care unit
“In the current study, a bundle of interventions and measures for preventing and controlling HAIs were developed and implemented in the ICU by trained personnel,
Simulation suggests label design affects intravenous medication safety
“The redesigned labels helped participants correctly select hetastarch from the cart, thus preventing some potentially catastrophic medication errors from reaching the simulated patient” Estock et
Switching from intravenous to subcutaneous tocilizumab monotherapy
“To evaluate the efficacy and safety of switching from intravenous (IV) tocilizumab (TCZ) to subcutaneous (SC) TCZ monotherapy in rheumatoid arthritis patients” Ogata et al
Ultrasound probe and needle direction: Dominant hand or not?
“We conducted a replicated crossover design study to assess if using one’s dominant hand for operating a probe vs directing a needle would affect the
Individual versus pooled multiple-lumen blood cultures for CLABSI diagnosis
“We compared individual blood cultures from each catheter lumen versus a pooled-blood culture bottle containing blood samples from every catheter lumen for the diagnosis of
Compliance with standard precautions among nursing students
“We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs)” Cheung et al (2015).
Interpretation of variables in vital signs during transfusion
“Blood transfusion is not associated with significant changes in recipient vital signs. Our data could be used to develop reference ranges for transfusion-related vital signs”
Assessing patient awareness of proper hand hygiene
“Results of this study appear to indicate a need to focus on patient education and the differences between soap and water versus alcohol-based hand sanitizers
How to complete root cause analysis (RCA) for CLABSI
“This article describes optimal RCA techniques based on published literature and expert opinion and then provides a sample RCA for a fictitious but common adverse
Treating blood loss and anaemia with supra-plasma expanders
“Present studies show that correcting the decrease of blood viscosity by increasing plasma viscosity with newly developed plasma expanders significantly improves tissue perfusion” Tsai et
Renal dosing of intravenous drugs in high-risk patient populations
“Equations frequently used to estimate kidney function for the purpose of making renal dose adjustments include the Cockcroft-Gault, Modification of Diet in Renal Disease (MDRD),
Mechanisms underlying peripheral iv catheter failure
“Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall
Teduglutide for the safe reduction of parenteral nutrition or fluid replacement
“To assess the efficacy and safety of teduglutide in reducing PN (parenteral nutrient and/or fluid) requirements in PN-dependent adults” Naberhuis and Tappenden (2015). Reference: Naberhuis,
Subcutaneous infusion innovations reviewed
“Parenteral drug delivery is an essential part of patient care. The subcutaneous (SC) route is easily accessed, is more cost-effective, and provides increased convenience for
Review of US drug shortages and associated patient safety
“Legislative action and the efforts of the U.S. Food and Drug Administration have helped reduce the occurrence of new shortages; however, the problem is not