Show simple item record

dc.contributor.authorKleidon, Tricia M
dc.contributor.authorCattanach, Paula
dc.contributor.authorMihala, Gabor
dc.contributor.authorUllman, Amanda J
dc.date.accessioned2019-07-01T00:33:32Z
dc.date.available2019-07-01T00:33:32Z
dc.date.issued2019
dc.identifier.issn1034-4810
dc.identifier.doi10.1111/jpc.14384
dc.identifier.urihttp://hdl.handle.net/10072/385923
dc.description.abstractAim: To improve paediatric peripheral intravenous catheter (PIVC) care through the implementation of care bundles. Methods: A pre–post study using mixed methods (clinical audit, staff survey, parent interviews) in 2016 at a tertiary paediatric hospital in Brisbane was conducted to evaluate the effectiveness of a PIVC insertion and maintenance bundle to improve PIVC insertion, promote function and support practice. Participants included children with PIVC, parents and staff inserting and managing PIVCs. A mnemonic care bundle, SUCCESS PIVCS (At insertion: Skills, Understand and prepare, Consent, Clean site, Escalate, Secure, Sign and document. During management: Prompt removal, Inspect hourly, Vein patency, Clean hands and Scrub the hub), was developed and implemented via visual aids, workshops and change champions. During audit, PIVC first-attempt insertion success, PIVC failure, PIVC dwell, escalation to senior clinicians and insertion and management procedures were measured. Results: Pre-implementation audit (n = 102) and survey (n = 117) data described high rates of PIVC failure (n = 50; 49%), difficulty obtaining equipment (n = 64; 55%) and pressure to insert (n = 50; 43%). Parent interviews (n = 15) identified lack of communication, fear, appreciation of skilled technicians and technology and care giver roles as key to improving the experience. After implementation first-attempt insertion success (45 vs. 62%; risk ratio 1.37, 95% confidence interval 1.05–1.78), first-attempt escalation to senior clinicians (junior doctor 72 vs. 41%; P = <0.001) and median PIVC dwell (40 vs. 52 h; P = 0.021) improved. Conclusion: This multi-level care bundle demonstrated improvements in the insertion and management of PIVCs; however, PIVC failure remained high.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofjournalJournal of Paediatrics and Child Health
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1114
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.titleImplementation of a paediatric peripheral intravenous catheter care bundle: A quality improvement initiative
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.hasfulltextNo Full Text
gro.griffith.authorMihala, Gabor
gro.griffith.authorUllman, Amanda J.
gro.griffith.authorKleidon, Patricia


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record