常规更换与临床指征性更换短外周导管：一项循证实践项目

Routine Versus Clinically Indicated Short Peripheral Catheter Replacement: An Evidence-based Practice Project.

作者信息

Stevens Catherine, Milner Kerry A, Trudeau Jennifer

机构信息

Hartford Healthcare Corporation, Meriden, Connecticut (Dr Stevens); Sacred Heart University, College of Nursing, Fairfield, Connecticut (Dr Milner); and Sacred Heart University, College of Business, Fairfield, Connecticut (Dr Trudeau). Catherine Stevens, DNP, NEA-BC, RN, is vice president of patient care services at Hartford Healthcare Corporation in Meriden, Connecticut. Kerry A. Milner, DNSc, RN, is an associate professor in the College of Nursing at Sacred Heart University in Fairfield, Connecticut. Jennifer Trudeau, PhD, is an assistant professor in the College of Business at Sacred Heart University in Fairfield, Connecticut.

出版信息

J Infus Nurs. 2018 May/Jun;41(3):198-204. doi: 10.1097/NAN.0000000000000281.

DOI:10.1097/NAN.0000000000000281

PMID:29659468

Abstract

Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1.9% to 3.5%, and SPC use decreased by 14.2%, resulting in estimated cost savings of $2100 and 70 hours of nursing time saved. The translation of evidence on timing of SPC replacement into practice was a success.

摘要

尽管目前有高质量的一级证据支持根据临床指征更换短期外周导管（SPC），但在所研究的医疗保健系统中，当前的做法是每96小时定期更换SPC。采用前后对照设计来评估根据临床指征更换SPC的影响。实践改变后，未发生与SPC相关的感染，每月静脉炎发生率在1.9%至3.5%之间，SPC的使用减少了14.2%，估计节省成本2100美元，节省护理时间70小时。将SPC更换时机的证据转化为实践取得了成功。