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A Randomized Trial Comparing Outcomes of 3 Types of Peripheral Intravenous Catheters

Galang, Heather DNP, RN-BC, CNL; Hubbard-Wright, Chandra BSN, RN, CRNI; Hahn, Donna S. DNP, RN, NEA-BC; Yost, Gina BSN, RN, CSSBB; Yoder, Laura PhD, RN; Maduro, Ralitsa S. PhD; Morgan, Merri K. DNP, RN, CCRN; Zimbro, Kathie S. PhD, RN

doi: 10.1097/NCQ.0000000000000421
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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.

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.

Correspondence: Heather Galang, DNP, RN-BC, CNL, 1500 Parklawn Dr, Charleston, SC 29414 (heather.galang@gmail.com).

The authors thank Drs Susan Winslow, Linda Hulton, and Erica Lewis for the assistance during the start of the project at Sentara RMH Medical Center.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: May 10, 2019

Published ahead of print: July 8, 2019

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