Research Article
The Impact of Peripheral Venous Catheter Procedural Kits on Improving Clinical Outcomes in Hospitalised Patients
1Department of Pharmacy and Pharmaceutical Sciences, Ulster University, United Kingdom
2Northern Health and Social Care Trust, Ballymena, United Kingdom
1Iskus Health Ltd, Ireland
Received Date:July 13, 2019; Published Date: July 17, 2019
Abstract
Introduction: Peripheral Venous Catheters (PVC) are an essential component in modern healthcare and their inclusion into a Clinical Procedure Pack has been identified as an area of healthcare where an enhancement in design and implementation could improve practitioner performance and associated patient outcomes.
Aim: The aim of this study was to assess the clinical impact of two interventions;
i. procedural kits with an enhanced training programme
ii. a specific feedback mechanism on the rates of inappropriate removal of PVCs within Antrim Area Hospital. Methods: A time series design, using retrospective and prospective data was used. The study consisted of three phases. Phase A aimed to establish existing PVC adverse event rates. Phase B included the introduction and assessment of the first intervention, a PVC procedural kit and associated training package, to specific clinical areas. Phase C involved the introduction and assessment of the second intervention, a performance feedback mechanism.
Results: Analysis of data showed that the difference of mean PVC clinical adverse event rate between Phase A 12.84% (95% CI: 10.86 – 15.03) and Phase B of 9.48% (95% CI: 8.10 – 11.00) was improved (p=0.008). Similarly, the PVC clinical adverse event rate of Phase B of 9.48% (95% CI: 8.10 – 11.00) and Phase C of 5.94% (95% CI: 4.78 – 7.30), was improved (P < 0.001).
Conclusion: In conclusion, the study demonstrated the benefit of introducing a PVC procedural kit with an enhanced training programme and a specific feedback mechanism to significantly reduce clinical adverse events, compared to the previous standard practice.
Keywords: PVC; Adverse events; Procedural pack; Clinical outcomes
Abbreviations: AAH: Antrim Area Hospital; AE: Adverse Event; ANOVA: One-Way Analysis of Variance; ANTT: Aseptic Non-Touch Technique; BSI: Bloods Stream Infection; FY1: Foundation Year one Doctor; ICU: Intensive Care Unit; IQR: Interquartile range; IV: Intravenous; NHS: National Health Service; NHSCT: Northern Health and Social Care Trust; OSCE: Objective Structured Clinical Examination; PCIM: Peripheral Cannula Insertion and Management Form; PVC: Peripheral Venous Catheter; SPC: Statistical Process Control
