Long-term effects of a strategy to reduce inappropriate use of catheters

Long-term sustainability of a de-implementation project to Reduce Inappropriate Use of CATheters

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN18989217

Enrollment

1254

Registered

2022-02-11

Start date

2022-05-01

Completion date

Unknown

Last updated

2024-11-18

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

Conditions

For the quantitative part, adult patients with a PVC or urinary catheter that are admitted to a medical ward. For the qualitative part, healthcare workers from the medical wards, who participated in executing and maintaining the de-implementation strategy. Not Applicable

Interventions

We will perform a multicenter observational study to measure the percentage of inappropriate use of peripheral intravenous catheters (PVCs) and urinary catheters. In addition, we will perform a qualit

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adult patients admitted to internal medicine, gastroenterology, geriatric, oncology, and pulmonology wards, and non-surgical acute admission units who have a PVC or urinary catheter on the day of data collection, or 2. Healthcare workers (e.g., nurses, physicians) who are or who were responsible for maintaining the de-implementation strategy to reduce inappropriate use of catheters

Exclusion criteria

Exclusion criteria: 1. Patients who are admitted for an elective short stay, and patients who are terminally ill 2. Patients with chronic use of catheters, defined as having any type of catheter before hospital admission, and no new inserted catheter of any type

Design outcomes

Primary

Measure	Time frame
Percentage of inappropriate use of PVCs on the days of data collection will be collected by a research physician or research student. These data will be collected from medical records in an electronic Good Clinical Practice-compliant database. Based on the information from the medical records, the research physician or research student will assess if the use is inappropriate. The following indications will be considered appropriate: a. Peripheral intravenous catheter • Delivery of peripherally compatible infusate (intravenous fluids and medications) at least once in 24 h • Injection of contrast fluids • Intravenous access for cardiac dysrhythmia • Transfusion of blood and blood products b. Urinary catheter • Accurate measurements of urinary output in patients who are critically ill when required for treatment • Acute urinary retention or bladder outlet obstruction (=150 mL) • Assist in healing of open sacral or perineal wounds in patients with urinary incontinence • Continuous bladder irrigation for haematuria • Palliative care for patients who are terminally ill if needed • Patient requires prolonged immobilisation • Before or after surgery according to (local) protocol • Volume measurements of urine output for diagnostics (24 h urine), which cannot be assessed by other collection strategies	—

Measure

Time frame

Percentage of inappropriate use of PVCs on the days of data collection will be collected by a research physician or research student. These data will be collected from medical records in an electronic Good Clinical Practice-compliant database. Based on the information from the medical records, the research physician or research student will assess if the use is inappropriate. The following indications will be considered appropriate: a. Peripheral intravenous catheter • Delivery of peripherally compatible infusate (intravenous fluids and medications) at least once in 24 h • Injection of contrast fluids • Intravenous access for cardiac dysrhythmia • Transfusion of blood and blood products b. Urinary catheter • Accurate measurements of urinary output in patients who are critically ill when required for treatment • Acute urinary retention or bladder outlet obstruction (=150 mL) • Assist in healing of open sacral or perineal wounds in patients with urinary incontinence • Continuous bladder irrigation for haematuria • Palliative care for patients who are terminally ill if needed • Patient requires prolonged immobilisation • Before or after surgery according to (local) protocol • Volume measurements of urine output for diagnostics (24 h urine), which cannot be assessed by other collection strategies

—

Secondary

Measure	Time frame
1. Number of patients with more than one PVC with an inappropriate indication on the days of data collection measured as above. 2. Barriers and facilitators of the sustainability of the effect of the de-implementation strategy measured using the themes that will emerge from the results of the focus group interviews conducted at a single time point	—

Countries

Netherlands

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026