Cannulation Rates in the Emergency Department Intervention Trial

Can we reduce unnecessary cannulation in Emergency Department patients through a brief educational strategy?

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12616000295448

Acronym

CREDIT

Enrollment

4173

Registered

2016-03-07

Start date

2016-02-22

Completion date

2016-06-12

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Peripherally inserted intravenous catheters (PIVC) are commonly used in Emergency Departments, however their use is not without cost or risk. Current literature suggests that a considerable proportion of PIVC placed in the emergency department remain unused, thereby increasing the number of patients who are unnecessarily exposed to the risks of PIVC including increased risk of infection. We will conduct a historically controlled trial that has two major aims. The first is to provide accurate baseline data on PIVC placement and PIVC use in patents in a tertiary emergency department (ED). The second is to assess the effect of an educational campaign on reducing the number of PIVC placed and the number of unused PIVC in ED patients. Within the Department of Emergency Medicine, we will collect data on the number of PIVC placed and used before an educational campaign. We will then run an education campaign that aims to reduce unnecessary PIVC use. We will then collect data on the number of PIVC placed and used one month after the education program to identify whether there has been a reduction in the number of PIVC placed and the number of unused PIVC in patients presenting to the Emergency Department.

Interventions

This is an education campaign aimed to reduce unnecessary peripheral inserted intravenous catheter use. The educational campaign includes group educational sessions with medical and nursing staff within the department of emergency medicine. The educational sessions will include a powerpoint presentation on appropriate peripheral inserted intravenous catheter use and will remind staff not to place a peripherally inserted intravenous catheter unless they are 80% sure that it will be used. There also will be posters placed in the Emergency Department and clinical champions wearing shirts reminding staff not to place a cannula unless clinically necessary. We will conduct 1X 30 minute sessions per week for 4 weeks. The nursing and medical staff involved in the study will be conducting the educational campaign. The follow-up data collection will monitor whether there has been adherence to the educational campaign.

Study design

Allocation

Non-randomised trial

Intervention model

Single group

Primary purpose

Educational / counselling / training

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Age 18 years and older presenting to the Emergency Department

Exclusion criteria

Peripherally intravenous catheter insertion by ambulance Triage Category 1 Interhospital transfer

Outcome results