一项比较三种外周静脉导管结局的随机试验。
A Randomized Trial Comparing Outcomes of 3 Types of Peripheral Intravenous Catheters.
作者信息
Galang Heather, Hubbard-Wright Chandra, Hahn Donna S, Yost Gina, Yoder Laura, Maduro Ralitsa S, Morgan Merri K, Zimbro Kathie S
机构信息
Department of Care Coordination (Dr Galang), Department of Nursing Administration (Dr Hahn), and Organizational Excellence (Ms Yost), Sentara RMH Medical Center, Harrisonburg, Virginia; Department of Patient Care Services, Sentara CarePlex Hospital, Hampton, Virginia (Ms Hubbard-Wright); Department of Nursing, Eastern Mennonite University, Harrisonburg, Virginia (Dr Yoder); and Clinical & Business Intelligence (Drs Maduro, Morgan, and Zimbro), Sentara Healthcare, Virginia Beach, Virginia.
出版信息
J Nurs Care Qual. 2020 Jan/Mar;35(1):6-12. doi: 10.1097/NCQ.0000000000000421.
BACKGROUND
There was an increase in peripheral intravenous catheter (PIVC) complications and adverse patient events after product conversion during the merger between a rural hospital and a larger hospital system. A review of the existing literature identified a gap in evidence evaluating 2 closed PIVC systems compared with an open PIVC system.
PURPOSE
The purpose of the current project was to ascertain whether open or closed PIVCs are best for patients, staff, and the health care system in terms of 3 main criteria: quality, safety, and cost.
METHODS
A prospective, 2-site randomized controlled trial was used to compare outcomes.
RESULTS
There were no differences in the complication rates between catheter types. There was a statistically significant increase in blood leakage and a decrease in clinician satisfaction with the open-system catheter.
CONCLUSIONS
Our project supports current clinical recommendation that a closed PIVC system, regardless of type, is not only safer and cost-effective but also preferred by patients and clinicians.
背景
一家乡村医院与一个更大的医院系统合并后，在产品转换期间，外周静脉导管（PIVC）并发症和不良患者事件有所增加。对现有文献的回顾发现，在评估两种封闭式PIVC系统与开放式PIVC系统时，证据存在空白。
目的
当前项目的目的是根据质量、安全和成本这三个主要标准，确定开放式或封闭式PIVC对患者、工作人员和医疗保健系统而言哪种是最佳选择。
方法
采用一项前瞻性、双中心随机对照试验来比较结果。
结果
不同导管类型之间的并发症发生率没有差异。开放式系统导管的血液渗漏有统计学显著增加，临床医生满意度下降。
结论
我们的项目支持当前临床建议，即封闭式PIVC系统，无论何种类型，不仅更安全且具有成本效益，而且更受患者和临床医生青睐。
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