Tego needlefree connector is associated with reduced incidence of CRBSI
“Use of the Tego connector may reduce the risk of CRBSI and result in lower utilization of thrombolytics, antibiotics, and ESAs, as well as fewer missed dialysis treatments” Brunelli et al (2014).
Overall intraosseous complication rate was 2.1%
“In a literature search, we identified 5,759 patients treated with IO catheters. The overall complication rate was 2.1%. In this article, we discuss the literature on IO catheter complications and report 2 cases of orthopedic management of IO catheter complications” Barlow and Kuhn (2014).
Blood transfusion via indwelling central venous catheters resulting in sepsis
“Blood transfusion through an indwelling CVC may lead to septic reaction owing to subclinical microbial colonization. This risk should be considered before transfusion and during investigation of transfusion reactions” Ricci et al (2014).
Clinical nurse compliance with standard precautions
“To perform detailed psychometric testing of the compliance with standard precautions scale (CSPS) in measuring compliance with standard precautions of clinical nurses and to conduct cross-cultural pilot testing and assess the relevance of the CSPS on an international platform” Lam (2014).
Prevention of duplicate blood tests resulted in cost savings of $183,586
“This CDST blocked 11,790 unnecessary duplicate test orders in these 2 years, which resulted in a cost savings of $183,586. There were no untoward effects reported associated with this intervention” Procop et al (2014).
Study evaluates the effect of the ‘order of draw’ on blood tests
“The ‘order of draw’ has been advocated since 1982 to reduce the risk of cross-contaminating blood tubes with additives from a previously filled tube” Indevuyst et al (2014).
Iatrogenic anaemia can occur in patients who have frequent blood tests
Blood loss due to diagnostic phlebotomy jest a very serious problem, especially for newborn, infants and critically ill patients on intensive care units. Although single blood loss can be easily tolerated in adults, in small babies and in patients who are frequently monitored based on laboratory tests iatrogenic anaemia can occur” Sztefko et al (2014).
Qualitative study investigates procedure-related pain in children
“Most children experienced mild pain during procedures. The children’s positioning during the procedure and prior experience with the procedure seem to influence their experience of procedural pain and it is therefore essential that therapy is tailored for each child and includes a multimodal approach” Rømsing et al (2014).
Biplane ultrasound probe for visualization of the internal jugular vein
“We report the use of a new biplane ultrasound probe which allows the user to simultaneously view the internal jugular vein in transverse and longitudinal views in real time” Kaplowitz and Bigeleisen (2014).
Hypodermoclysis efficacy in hydration against the intravenous (IV) route in elderly patients
“The objective of the present study is to evaluate the subcutaneous non-inferiority efficacy in hydration against the intravenous (IV) route in elderly patients with dehydration” Duems Noriega and Ariño Blasco (2014).
Incidence and composition of hospital-acquired venous thromboembolism
“Hospital-acquired venous thromboembolism (HA-VTE, VTE occurring during a hospitalization) codes in hospital billing data are often used as a surrogate for hospital-associated VTE events occurring during or up to 30 days after a hospitalization, which are more difficult to measure” Khanna et al (2014).
Review of noncytotoxic drug extravasation and management
“The intent of this review is to provide a reference identifying noncytotoxic vesicants and the management of extravasations associated with specific agents” Le and Patel (2014).
Morbidity of peripherally inserted central catheters in pediatric complicated appendicitis
“The purpose of this study was to compare postoperative outcomes of pediatric patients with complicated appendicitis managed with or without a peripherally inserted central catheter (PICC)” Sulkowski et al (2014).
Are interventions to reduce interruptions and errors during medication administration effective?
“Interruptions during medication administration have been implicated as a potential contributory factor” Raban et al (2014).
Evaluation of an electronic prescribing template in critical care
“The presentation of choices within an electronic prescribing system influenced the delivery of evidence-based interventions in a predictable way and the effect was well sustained” Bourdeaux et al (2014).
Central venous catheter guidewire discovered on postmortem
“The patient died 2 years later from unrelated streptococcal pneumonia complicated by septicaemia and multiorgan failure. The postmortem discovered a central venous guidewire in the IVC across the right atrium into SVC” Lee et al (2014).
Systematic review suggests quality improvement interventions prevent CLABSI
“This systematic review and meta-analysis examines the impact of quality improvement interventions on central line-associated bloodstream infections in adult ICUs.” Blot et al (2014).
Multimodal, multidisciplinary, hospital-wide training strategy reduces CLABSI
“Our findings suggest that clinically relevant reduction of hospital-wide CLABSI was reached with a comprehensive, multidisciplinary and multimodal quality improvement programme including aspects of behavioural change and key principles of good implementation practice” Zingg et al (2014).