Limiting the Number of Lumens in Peripherally Inserted Central Catheters to Improve Outcomes and Reduce Cost: A Simulation Study

Infection Control and Hospital Epidemiology

Volumn 37, Issue 7, 2016, Pages 811-817

  Ratz, David ^a,b   Hofer, Timothy ^a,b   Flanders, Scott A ^b   Saint, Sanjay ^a,b   Chopra, Vineet ^a,b  

^a VA ANN ARBOR HEALTHCARE SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOODSTREAM INFECTION; CATHETERIZATION; COST; COST CONTROL; COST OF ILLNESS; DEEP VEIN THROMBOSIS; HEALTH CARE QUALITY; HOSPITAL COST; HOSPITAL POLICY; PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER; PREVALENCE; SIMULATION; TREATMENT OUTCOME; ADVERSE DEVICE EFFECT; CATHETER INFECTION; CENTRAL VENOUS CATHETER; CROSS INFECTION; DEVICES; ECONOMICS; HUMAN; PROCEDURES; STATISTICS AND NUMERICAL DATA; VEIN THROMBOSIS;

CATHETER-RELATED INFECTIONS; CATHETERIZATION, PERIPHERAL; CENTRAL VENOUS CATHETERS; COST SAVINGS; CROSS INFECTION; HOSPITAL COSTS; HUMANS; VENOUS THROMBOSIS;

EID: 84976338416     PISSN: 0899823X     EISSN: 15596834     Source Type: Journal    
DOI: 10.1017/ice.2016.55     Document Type: Article

References (34)

1. Meyer BM. Developing an alternative workflow model for peripherally inserted central catheter placement. J Infus Nurs 2012;35:34-42.
2. Chopra V, Flanders SA, Saint S: The problem with peripherally inserted central catheters. JAMA 2012;308:1527-1528.
3. Ajenjo MC, Morley JC, Russo AJ, et al. Peripherally inserted central venous catheter-associated bloodstream infections in hospitalized adult patients. Infect Control Hosp Epidemiol 2011; 32:125-130.
4. Chopra V, Anand S, Hickner A, et al. Risk of venous thromboembolism associated with peripherally inserted central catheters: A systematic review and meta-analysis. Lancet 2013; 382:311-325.
5. Chopra V, O'Horo JC, Rogers MA, Maki DG, Safdar N: The risk of bloodstream infection associated with peripherally inserted central catheters compared with central venous catheters in adults: A systematic review and meta-analysis. Infect Control Hosp Epidemiol 2013;34:908-918.
6. Chopra V, Ratz D, Kuhn L, Lopus T, Chenoweth C, Krein S. PICC-associated bloodstream infections: prevalence, patterns, and predictors. Am J Med 2014;127:319-328.
7. Chopra V, Ratz D, Kuhn L, Lopus T, Lee A, Krein S. Peripherally inserted central catheter-related deep vein thrombosis: contemporary patterns and predictors. J Thromb Haemost 2014; 12:847-854.
8. Evans RS, Sharp JH, Linford LH, et al. Risk of symptomatic DVT associated with peripherally inserted central catheters. Chest 2010;138:803-810.
9. O'Brien J, Paquet F, Lindsay R, Valenti D. Insertion of PICCs with minimum number of lumens reduces complications and costs. J Am Coll Radiol 2013;10:864-868.
10. Infusion Nurses Society. Infustion nursing standards of practice. J Infus Nurs 2011;34.
11. Chopra V, Flanders SA, Saint S, et al: The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): results from a multi-specialty panel using the RAND/UCLA appropriateness method. Ann Intern Med 2015;163:S1-S40.
12. O'Grady NP, Alexander M, Burns LA, et al. Summary of recommendations: guidelines for the prevention of intravascular catheter-related infections. Clin infect Dis 2011;52:1087-1099.
13. Evans RS, Sharp JH, Linford LH, et al. Reduction of peripherally inserted central catheter-associated DVT. Chest 2013;143:627-633.
14. Chopra V, Kuhn L, Coffey CE Jr, et al. Hospitalist experiences, practice, opinions, and knowledge regarding peripherally inserted central catheters: A Michigan survey. J Hosp Med 2013;8: 309-314.
15. Chopra V, Kuhn L, Flanders SA, Saint S, Krein SL. Hospitalist experiences, practice, opinions, and knowledge regarding peripherally inserted central catheters: results of a national survey. J Hosp Med 2013;8:635-638.
16. Michigan Hospital Medicine Safety (HMS) Consortium. Quality Improvement Projects. http://www.mi-hms.org/qualityinitiatives. Published 2013. Accessed March 14, 2016.
17. Chopra V, Smith S, Swaminathan L, et al. Variations in peripherally inserted central catheter use and outcome in Michigan hospitals. JAMA Int Med 2016.
18. Chopra V, Bernstein SJ, Kaatz S, et al. Epidemiology of PICC use in Michigan hospitals. J Hosp Med 2015;10.
19. Warren DK, Quadir WW, Hollenbeak CS, Elward AM, Cox MJ, Fraser VJ. Attributable cost of catheter-associated bloodstream infections among intensive care patients in a nonteaching hospital. Crit Care Med 2006;34:2084-2089.
20. Al-Rawajfah OM, Hewitt JB, Stetzer F, Cheema J. Length of stay and charges associated with health care-acquired bloodstream infections. Am J Infect Control 2012;40:227-232.
21. Agency for Healthcare Research and Quality (AHRQ). Appendix A: talking points to attract administrration support for venous thromboembolism prevention programs. AHRQ website. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safetyresources/resources/vtguide/vtguideapa.html. Accessed July 13, 2015.
22. Univeristy of Michigan financial operations/procurement data. Obtained July 13, 2015. Availble on file.
23. Butler AM, Olsen MA, Merz LR, et al. Attributable costs of enterococcal bloodstream infections in a nonsurgical hospital cohort. Infect Control Hosp Epidemiol 2010;31:28-35.
24. Shannon RP, Patel B, Cummins D, Shannon AH, Ganguli G, Lu Y. Economics of central line-associated bloodstream infections. Am J Med Qual 2006;21:7S-16S.
25. Moran JL, Solomon PJ, Peisach AR, Martin J. New models for old questions: generalized linear models for cost prediction. J Eval Clin Pract 2007;13:381-389.
26. American Hospital Association (AHA). Fast facts on US hospitals. AHA website. http://www.aha.org/research/rc/stat-studies/fast-facts.shtml. Accessed July 13, 2015.
27. Baxi SM, Shuman EK, Scipione CA, et al. Impact of postplacement adjustment of peripherally inserted central catheters on the risk of bloodstream infection and venous thrombus formation. Infect Control Hosp Epidemiol 2013;34:785-792.
28. Yeung C, May J, Hughes R. Infection rate for single lumen v triple lumen subclavian catheters. Infect Control Hosp Epidemiol 1988;9:154-158.
29. Hilton E, Haslett TM, Borenstein MT, Tucci V, Isenberg HD, Singer C. Central catheter infections: single-versus triple-lumen catheters. Influence of guide wires on infection rates when used for replacement of catheters. Am J Med 1988;84:667-672.
30. Safdar N, Maki DG. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. Chest 2005;128:489-495.
31. Nifong TP, McDevitt TJ: The effect of catheter to vein ratio on blood flow rates in a simulated model of peripherally inserted central venous catheters. Chest 2011;140:48-53.
32. Chopra V, Fallouh N, McGuirk H, et al. Patterns, risk factors and treatment associated with PICC-DVT in hospitalized adults: A nested case-control study. Thromb Res 2015;135:829-834.
33. Graves N. How costs change with infection prevention efforts. Curr Opin Infect Dis 2014;27:390-393.
34. Merlo G, Page K, Ratcliffe J, Halton K, Graves N. Bridging the gap: exploring the barriers to using economic evidence in healthcare decision making and strategies for improving uptake. Appl Health Econ Health Policy 2015;13:303-309.