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通过超声引导外周静脉置管减少经外周静脉穿刺中心静脉导管的使用:急性护理环境中的质量改进项目。

Decreasing Peripherally Inserted Central Catheter Use With Ultrasound-Guided Peripheral Intravenous Lines: A Quality Improvement Project in the Acute Care Setting.

作者信息

Morata Lauren, Ogilvie Carrie, Yon Jackie, Johnson Allison

机构信息

Author Affiliations: Clinical Nurse Specialist and Research Coordinator for Trauma Services, Trauma Support (Ms Morata); Associate Vice President of Operations and Growth-Trauma and Critical Care Services (Dr Ogilvie); Associate Vice President of Operations and Growth-Medical and Cardiac Patient Care Services (Ms Yon), Executive Leadership; and Director of Critical Care Services, Critical Care (Ms Johnson), Lakeland Regional Health, Florida.

出版信息

J Nurs Adm. 2017 Jun;47(6):338-344. doi: 10.1097/NNA.0000000000000489.

DOI:10.1097/NNA.0000000000000489
PMID:28538464
Abstract

An ultrasound-guided peripheral intravenous (UGPIV) quality improvement project occurred in an 849-bed tertiary care hospital with a goal to reduce the use of central lines, in particular, peripherally inserted central catheters (PICCs). Since implementation, PICCs have decreased by 46.7% overall, and 59 nurses in-hospital are competent in placing UGPIVs. Placement of UGPIVs by the bedside nurse is a key initiative in decreasing PICC use and, potentially, infections.

摘要

在一家拥有849张床位的三级护理医院开展了一项超声引导下外周静脉穿刺(UGPIV)质量改进项目,目标是减少中心静脉导管的使用,特别是经外周静脉穿刺中心静脉导管(PICC)的使用。自项目实施以来,PICC的使用总体减少了46.7%,医院内有59名护士能够熟练进行UGPIV穿刺。床边护士进行UGPIV穿刺是减少PICC使用并可能降低感染率的一项关键举措。

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