With most hospitalized patients requiring peripheral intravenous catheters (PIVCs), PIVC-related process improvement may substantially affect the health, safety, and satisfaction of patients and health care workers, in addition to reducing costs. This study examined PIVC practice-related metrics before and after a comprehensive process improvement program, which included a change to closed catheter technology. Data were obtained from observations, clinician interviews, and patient records. Metrics included assessment of risk, especially blood exposure and contamination; measurement of insertion efficiency; and quantification of PIVC failure. A significant improvement in most metrics was achieved after the process improvement program.
University of Florida (UF) Health Jacksonville, Jacksonville, Florida.
Valerie Platt, DNP, RN, NE-BC, LSSGB, is the division director of nursing specialty services at UF Health Jacksonville, Jacksonville, Florida.
Seth Osenkarski, MSN, RN, ONC®, CURN, LSSGB, is a clinical quality nurse leader at UF Health Jacksonville, Jacksonville, Florida.
Corresponding Author: Seth Osenkarski, MSN, RN, ONC®, CURN, LSSGB, Clinical Quality Nurse Leader, UF Health Jacksonville, 655 8th Street West, 4 South Orthopedics, Jacksonville, FL 32209 (Seth.Osenkarski@jax.ufl.edu).
Becton, Dickinson and Company provided financial assistance for writing and editorial services in the preparation of this manuscript.