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https://hdl.handle.net/2440/123336
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dc.contributor.author | Egerton-Warburton, D. | - |
dc.contributor.author | McAllan, F. | - |
dc.contributor.author | Ramanan, R. | - |
dc.contributor.author | Lim, Z.J. | - |
dc.contributor.author | Nagle, D. | - |
dc.contributor.author | Dendle, C. | - |
dc.contributor.author | Stuart, R. | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Emergency Medicine Australasia, 2019; 31(3):372-377 | - |
dc.identifier.issn | 1742-6723 | - |
dc.identifier.issn | 1742-6723 | - |
dc.identifier.uri | http://hdl.handle.net/2440/123336 | - |
dc.description.abstract | Objective: Our objective was to examine the impact of a human factor-designed multimodal intervention on the proportion of unused peripheral i.v. cannula (PIVC) insertion in our ED. Methods: A pre- and post-multimodal intervention retrospective cohort study was conducted using a structured electronic medical record review within a single adult tertiary ED in Australia. Pre-intervention data was collected 30 days prior to the multimodal intervention, with 30 day post-intervention data collected 3 months after the intervention commenced. The rates of PIVC inserted, the unused rate and the unused but appropriately inserted cannulas were the main outcome measures. Results: Intravenous cannula insertion rates decreased by 12.9% (95% confidence interval [CI] 12.19-13.61) between the pre-intervention (1413/4167 [33.9%]; 95% CI 32.5-35.4) and post-intervention cohort (928/4421 [21.0%]; 95% CI 19.8-22.2). An analysis of 754 cases (376 pre-intervention and 378 post-intervention) showed that 139 of 376 (37.0%; 95% CI 32.1-42.1) i.v. cannulas were unused pre-intervention, while 73 of 378 (19.3%; 95% CI 15.4-23.7) was unused post-intervention; an absolute reduction of 17.7% (95% CI 14.98-20.42). The relative risk of an unused i.v. cannula was 0.52 (95% CI 0.41-0.67). The proportion of unused but appropriately inserted i.v. cannulas remained unchanged in both cohorts, with a relative risk of 0.91 (95% CI 0.58-1.42). Conclusion: Our multimodal intervention successfully reduced the number of unused PIVCs inserted in the ED, with a reduction in overall and unused PIVC insertions without any change in appropriate insertions. | - |
dc.description.statementofresponsibility | Diana Egerton-Warburton, Fern McAllan, Radha Ramanan, Zheng Jie Lim, Daniel Nagle, Claire Dendle, and Rhonda Stuart | - |
dc.language.iso | en | - |
dc.publisher | Wiley | - |
dc.rights | © 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine | - |
dc.source.uri | http://dx.doi.org/10.1111/1742-6723.13165 | - |
dc.subject | Human factor; multi-modal intervention; peripheral intravenous cannula | - |
dc.title | Human factor-designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1111/1742-6723.13165 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | McAllan, F. [0000-0002-3677-5786] | - |
Appears in Collections: | Aurora harvest 4 Medical Sciences publications |
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