清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

Promoting appropriate midline catheter and PICC placement through implementation of an EHR‐based clinical decision support tool: An interrupted time‐series analysis

医学 外周穿刺中心静脉导管 导管 单中心 干预(咨询) 急诊医学 管腔(解剖学) 医院医学 临床决策支持系统 重症监护医学 外科 医疗保健 内科学 护理部 经济 经济增长
作者
Erin Bredenberg,Riannon Atwater,Eric Grimm,Vineet Chopra,Christopher Dale Shamburger,Tyler Anstett
出处
期刊:Journal of Hospital Medicine [Wiley]
卷期号:18 (6): 483-490 被引量:2
标识
DOI:10.1002/jhm.13093
摘要

Abstract Background Inappropriate use of peripherally inserted central catheters (PICCs), including multilumen PICCs, may increase the risk of patient complications. Objective Implement computerized decision support to: (a) increase the use of midline catheters over PICCs when appropriate and (b) decrease PICC lumens when a PICC is necessary. Designs Quasi‐experimental, interrupted time series. Setting Single tertiary academic medical center. Patients Hospitalized adults who received a midline or PICC during clinical care. Intervention Decision support on appropriate vascular access device choice via a set of electronic orders embedded within the electronic health record. Measurements Proportion of midline catheter and single‐lumen PICCs placed between January 2, 2017 and November 19, 2017 (preintervention) versus November 20, 2017 to December 1, 2019 (postintervention). Results A total of 8758 midline and PICCs were inserted during the study period. A statistically significant increase in the insertion of midline catheters was observed during the intervention ( p = .006). In parallel, single‐lumen PICC insertion as a proportion of all PICCs also increased after the intervention ( p = .035). Results were consistent across multiple disciplines, including internal medicine, surgery, and intensive care. After considering the hospital census, total PICC and midline utilization rates and rates of complications did not change over time. However, an increase in catheter exchanges from less to more invasive devices occurred. Conclusions In this single‐center study, the implementation of electronic decision support to inform appropriate catheter use led to a more appropriate midline catheter and single‐lumen PICC insertion. Dissemination of this single, effective intervention to examine efficacy in other hospital settings would be welcomed.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
淡淡醉波wuliao完成签到 ,获得积分10
1秒前
贰鸟应助小鱼儿飞飞采纳,获得10
2秒前
量子星尘发布了新的文献求助10
18秒前
小鱼儿飞飞完成签到,获得积分10
32秒前
35秒前
HEIKU应助小鱼儿飞飞采纳,获得10
37秒前
benzene完成签到 ,获得积分10
42秒前
量子星尘发布了新的文献求助10
43秒前
cencen完成签到 ,获得积分10
1分钟前
yinyin完成签到 ,获得积分10
1分钟前
宁霸完成签到,获得积分0
1分钟前
量子星尘发布了新的文献求助10
1分钟前
科研狗完成签到 ,获得积分10
1分钟前
yujx发布了新的文献求助10
1分钟前
量子星尘发布了新的文献求助10
1分钟前
2分钟前
量子星尘发布了新的文献求助10
2分钟前
量子星尘发布了新的文献求助30
2分钟前
konosuba完成签到,获得积分0
2分钟前
chcmy完成签到 ,获得积分10
2分钟前
3分钟前
量子星尘发布了新的文献求助10
3分钟前
cgs完成签到 ,获得积分10
3分钟前
Raul完成签到 ,获得积分10
3分钟前
tlh完成签到 ,获得积分10
3分钟前
华仔应助科研通管家采纳,获得10
3分钟前
3分钟前
量子星尘发布了新的文献求助10
3分钟前
可千万不要躺平呀举报33求助涉嫌违规
3分钟前
3分钟前
梧桐完成签到,获得积分10
3分钟前
4分钟前
量子星尘发布了新的文献求助10
4分钟前
YifanWang应助一个小胖子采纳,获得10
4分钟前
4分钟前
心静自然好完成签到 ,获得积分10
4分钟前
woxinyouyou完成签到,获得积分0
4分钟前
量子星尘发布了新的文献求助10
4分钟前
一个小胖子完成签到,获得积分10
4分钟前
sobergod完成签到 ,获得积分10
4分钟前
高分求助中
Africanfuturism: African Imaginings of Other Times, Spaces, and Worlds 3000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 2000
Electron microscopy study of magnesium hydride (MgH2) for Hydrogen Storage 1000
Structural Equation Modeling of Multiple Rater Data 700
 Introduction to Comparative Public Administration Administrative Systems and Reforms in Europe, Third Edition 3rd edition 590
全球膝关节骨性关节炎市场研究报告 555
Exhibiting Chinese Art in Asia: Histories, Politics and Practices 540
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3892461
求助须知:如何正确求助?哪些是违规求助? 3435216
关于积分的说明 10791581
捐赠科研通 3160179
什么是DOI,文献DOI怎么找? 1745422
邀请新用户注册赠送积分活动 842891
科研通“疑难数据库(出版商)”最低求助积分说明 786929