None listed
Conditions
Brief summary
Peripheral intravenous cannula (PIVC) insertion is the one of the most common clinical interventions performed in the Emergency Department (ED) worldwide. Improving the first time insertion success rate and dwell time of PIVCs inserted in EDs can prevent repeat needle insertions. A number of factors have been identified as predictor’s of insertion failure and premature device failure. However, none have focused on the patient's journey with PIVC from ED to hospital admission. Purpose: This study proposes to determine the predictors of first time PIVC insertion success in ED and risk factors for PIVC failure for ED patients admitted to the hospital wards. Methods: A prospective observational cohort study of PIVC insertions in a patient population presenting to ED, with follow-up of subsequent admissions to hospital wards. Data in relation to clinician and patient risk factors will be collected from medical records and observations, as well as device information. Multivariable regression analyses will be sued to identify factors associated with insertions success and PIVC failure Results: The projected sample size n=1000 PIVC insertions will provide sufficient power to determine the association between risk factors and first-time insertion success and premature device failure. Conclusion: This study will provide new evidence to improve insertion success rates in ED and identify strategies to reduce premature device failure for patients admitted to hospital wards with PIVC.
Interventions
The study proposes to determine the factors surrounding peripheral intravenous cannula (PIVC) insertion to identify best practices to promote first-time insertion success, and reduce repeat PIVC insertion for patients admitted to the hospital wards.
A prospective observational study of clinicians performing PIVC insertion in a patient population presenting to ED, with follow-up of any subsequent admissions to hospital wards. Observations include the insertion of PIVC in ED. Patients who are adm
The study proposes to determine the factors surrounding peripheral intravenous cannula (PIVC) insertion to identify best practices to promote first-time insertion success, and reduce repeat PIVC insertion for patients admitted to the hospital wards. A prospective observational study of clinicians performing PIVC insertion in a patient population presenting to ED, with follow-up of any subsequent admissions to hospital wards. Observations include the insertion of PIVC in ED. Patients who are admitted with the observed ED PIVC will be followed up and observed daily until the ED PIVC is removed. All observations and questions we propose are underpinned by scientific literature and have undergone face and content validity indexing.
Sponsors
Sir Charles Gairdner Emergency Medicine
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All clinical staff who place PIVCs as part of their role in the Emergency Department, and who consent to participate. All patients >18 years will be approached. We will attempt to observe all patient types and as such a waiver of consent has been granted. However, patients with the capacity to understand what the researchers are doing will be verbally informed as to what we intend to observe. Family members present with patients who do not have the capacity to understand will also be informed. If either the patient or family members advocating on behalf of a patient decline to have a PIVC procedure observed, they will not be coerced into taking part.
Exclusion criteria
Patients under 18 years of age. Clinician participants who decline to provide consent. Patients with the capacity to understand and decline to take part and/or family advocating for patients who decline on the patient's behalf.
Outcome results
None listed