可接受但不可取：外周静脉留置针失败
Accepted but Unacceptable: Peripheral IV Catheter Failure.
作者信息
Helm Robert E, Klausner Jeffrey D, Klemperer John D, Flint Lori M, Huang Emily
机构信息
Portsmouth Regional Hospital, Department of Cardiothoracic and Vascular Surgery, Portsmouth, New Hampshire (Dr Helm); University of California, Division of Infectious Diseases, Los Angeles, California (Dr Klausner and Ms Huang); and Eastern Maine Medical Center, Division of Cardiovascular Surgery, Bangor, Maine (Dr Klemperer). Robert E. Helm, MD, is a cardiothoracic surgeon in the Department of Cardiothoracic and Vascular Surgery at the Portsmouth Regional Hospital in Portsmouth, New Hampshire. Jeffrey D. Klausner, MD, MPH, is a professor of medicine in the Division of Infectious Diseases at the University of California, Los Angeles. John D. Klemperer, MD, is a cardiothoracic surgeon in the Division of Cardiovascular Surgery at the Eastern Maine Medical Center in Bangor, Maine. Lori M. Flint, BSN, RN, CCRN, is a critical care nurse. Emily Huang, BA, is a research assistant in the Division of Infectious Diseases at the University of California, Los Angeles.
出版信息
J Infus Nurs. 2019 May/Jun;42(3):151-164. doi: 10.1097/NAN.0000000000000326.
Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands. Catheter failure is costly to patients, caregivers, and the health care system. Although advances have been made, analysis of the mechanisms underlying the persistent high rate of peripheral IV failure reveals opportunities for improvement.
外周静脉（IV）导管插入术是全球范围内最常见的侵入性医院操作，即便在技术最娴熟的医护人员手中，也会引发各种并发症，总体失败率高达35%至50%，令人难以接受。导管失败对患者、护理人员和医疗保健系统来说成本高昂。尽管已经取得了一些进展，但对外周静脉插管持续高失败率背后机制的分析揭示了改进的机会。
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