“A multipronged approach blending both the adaptive and technical aspects of care including front line engagement, education, execution of best practices, and evaluation of both process and outcome measures may provide an effective strategy for reducing CLABSI rates outside the ICU” Dumyati et al (2014).
“Those hazards can be minimized when the pharmacist thoroughly understands and complies with current standard operating procedures for preparing intravenous compounded sterile preparations and the healthcare giver uses a needle-free system for drug reconstitution and administration” Marks (2014).
Utility of electronic medical records to assess the relationship between parenteral nutrition and CLABSI
“The utility of electronic medical records for determining risk factors is limited by such things as free-text data entry. Using a hybrid between fully electronic and manual chart review, reliable data were obtained” Ippolito et al (2014).
“One third of CRBSI episodes were due to isolates belonging to PFGE types that were also found on the hands of HCWs, suggesting that HCW serve as a reservoir for oxacillin resistance and transmission to patients” Cherifi et al (2014).
“There was no significant difference in pain scores experienced by patients undertaking ABG sampling with either a 23G or 25G needle” Yee et al (2014).
“We present a case of a newborn girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis” Oesterlie et al (2014).
“In this retrospective cohort analysis of patients treated with either nafcillin or cefazolin for MSSA infection in the outpatient parenteral antimicrobial therapy clinic at Massachusetts General Hospital from 2007 to 2011, the frequency of premature antimicrobial discontinuation (PAD) and drug-emergent events (DEEs) was calculated” Youngster et al (2014).
“Venepuncture procedures are frequently employed to continuously monitor humoral stress markers. As such procedures are conceived as “potent psychological and physiological stressors”, there is a need to determine whether venepuncture procedures themselves elicit cortisol responses and if so, how to deal with them appropriately” Weckesser et al (2014).
“Almost three quarters of patients spontaneously look away during venepuncture, but their pain ratings are almost twice that of the quarter of patients who look” Vijayan et al (2014).
“The estimated net economic benefits ranged from $640 million to $1.8 billion, with the corresponding net benefits per case averted ranging from $15,780 to $24,391. The per dollar rate of return on the CDC’s investments ranged from $3.88 to $23.85” Scottt et al (2014).
“BSIs due to ABC are more common among critically ill and debilitated institutionalized patients, who are heavily exposed to health-care settings and invasive devices” Chopra et al (2014).
“CRCOL and CRBSI rates in patients on CRRT are low and not influenced significantly by initial or serial femoral catheterizations with guidewire exchange or new venipuncture. CRCOL risk is higher in older and heavier patients, the latter especially so with femoral sites” Chua et al (2014).
“The threshold at which the risk of anemia outweighs the risk of transfusion is not known. More studies are needed to determine when RBC transfusion is indicated in hospitalized patients with cardiac disease” Du Pont-Thibodeau et al (2014).
“Caregivers should be aware of these findings, and optimise the delivery of IV substances by making use of check valves with low opening pressures and by minimising compliance and volume of the IV-administration set. Furthermore, changes in the relative height between pumps and catheter tip should be minimized” van der Eijk et al (2014).
“Placement of an infusion filter does not have a significant effect on the in-line pressure monitoring and has no adverse effect on detecting pressure-related complications of IV administration” Jonkers et al (2014).
“We found that these catheter hubs were compatible, fully operational, and airtight with use of 3M Curos stopper caps after 6 months of use with 122 caps per catheter hub” Simon et al (2021).
“We have recently started to assess the intravascular position of the tip and the delivery of the infusion in the proximity of the cavo-atrial junction utilizing transthoracic/subxiphoid ultrasound with the ‘bubble test'” D’Arrigo et al (2021).
“Implementation of systems capitalizing on the ability of the electronic health record to constantly screen patients, paired with rapid response teams who can assess and approach sepsis with a standardized algorithm can significantly improve the recognition and management of patients with sepsis, and save lives” Cox and Voss (2021).
“We conducted a prospective, single-site, parallel, two-arm randomized controlled investigation with a primary outcome of catheter failure comparing securement with standard semi-permeable dressing and clear tape (SPD) to standard semipermeable dressing and clear tape with cyanoacrylate glue (SPD + CG)” Bahl et al (2021).
“The patient’s back pain was ultimately felt to be an adverse reaction to the multivitamin component of the infusion based on an elimination trial of the PN components” Swartz et al (2021).
Non-sterile to sterile drug compounding during a pandemic Abstract: The drug supply chain has suffered many interruptions over the past decade. The COVID-19 pandemic exacerbated
“Utilization of a large volume of isotonic saline may lead to hypervolemia, hypernatremia, hyperchloremia, metabolic acidosis, and hypokalemia. The use of balanced intravenous solutions has been advocated to avoid these complications” Tinawi (2021).
“Effect of virtual reality on pain during vascular access in children fear, there is significant heterogeneity between studies” Saliba et al (2021).
“This cohort study reviews trends in all needlestick and other sharps injuries among resident physicians” Ugonabo et al (2021).