Half of all peripheral intravenous lines in an Australian tertiary emergency department are unused: pain with no gain?

Research output: Contribution to journalArticleResearchpeer-review

47 Citations (Scopus)

Abstract

STUDY OBJECTIVE: Our study aims to determine the incidence of unused peripheral intravenous cannulas inserted in the emergency department (ED). METHODS: A retrospective cohort study using a structured electronic medical record review was performed in a 640-bed tertiary care hospital in Melbourne, Australia. During a 30-day period, all patients who had a peripheral intravenous cannula recorded as a procedure on their electronic medical record in the ED were included in this study. RESULTS: Fifty percent of peripheral intravenous cannulas inserted in the ED were unused. Patients presenting with obstetric and gynecologic and neurologic symptoms were significantly more likely to have an unused cannula. Forty-three percent of patients admitted to the hospital with unused peripheral intravenous cannulas in the ED continued to have them unused 72 hours later. CONCLUSION: There is a high incidence of unused peripheral intravenous cannulas inserted in the ED. The risk of having an unused peripheral intravenous cannula is associated with the patient s presenting complaint. Efforts should be directed to reduce this rate of unused peripheral intravenous cannula insertion, especially in patients being admitted, to minimize the risk of complications.
Original languageEnglish
Pages (from-to)521 - 525
Number of pages5
JournalAnnals of Emergency Medicine
Volume62
Issue number5
DOIs
Publication statusPublished - 2013

Cite this

@article{fb2436bfb71a40c098b8a45f801927ea,
title = "Half of all peripheral intravenous lines in an Australian tertiary emergency department are unused: pain with no gain?",
abstract = "STUDY OBJECTIVE: Our study aims to determine the incidence of unused peripheral intravenous cannulas inserted in the emergency department (ED). METHODS: A retrospective cohort study using a structured electronic medical record review was performed in a 640-bed tertiary care hospital in Melbourne, Australia. During a 30-day period, all patients who had a peripheral intravenous cannula recorded as a procedure on their electronic medical record in the ED were included in this study. RESULTS: Fifty percent of peripheral intravenous cannulas inserted in the ED were unused. Patients presenting with obstetric and gynecologic and neurologic symptoms were significantly more likely to have an unused cannula. Forty-three percent of patients admitted to the hospital with unused peripheral intravenous cannulas in the ED continued to have them unused 72 hours later. CONCLUSION: There is a high incidence of unused peripheral intravenous cannulas inserted in the ED. The risk of having an unused peripheral intravenous cannula is associated with the patient s presenting complaint. Efforts should be directed to reduce this rate of unused peripheral intravenous cannula insertion, especially in patients being admitted, to minimize the risk of complications.",
author = "Limm, {Ezra I} and Xin Fang and Claire Dendle and Stuart, {Rhonda Lee} and Diana Egerton-Warburton",
year = "2013",
doi = "10.1016/j.annemergmed.2013.02.022",
language = "English",
volume = "62",
pages = "521 -- 525",
journal = "Annals of Emergency Medicine",
issn = "0196-0644",
publisher = "Elsevier",
number = "5",

}

Half of all peripheral intravenous lines in an Australian tertiary emergency department are unused: pain with no gain? / Limm, Ezra I; Fang, Xin; Dendle, Claire; Stuart, Rhonda Lee; Egerton-Warburton, Diana.

In: Annals of Emergency Medicine, Vol. 62, No. 5, 2013, p. 521 - 525.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Half of all peripheral intravenous lines in an Australian tertiary emergency department are unused: pain with no gain?

AU - Limm, Ezra I

AU - Fang, Xin

AU - Dendle, Claire

AU - Stuart, Rhonda Lee

AU - Egerton-Warburton, Diana

PY - 2013

Y1 - 2013

N2 - STUDY OBJECTIVE: Our study aims to determine the incidence of unused peripheral intravenous cannulas inserted in the emergency department (ED). METHODS: A retrospective cohort study using a structured electronic medical record review was performed in a 640-bed tertiary care hospital in Melbourne, Australia. During a 30-day period, all patients who had a peripheral intravenous cannula recorded as a procedure on their electronic medical record in the ED were included in this study. RESULTS: Fifty percent of peripheral intravenous cannulas inserted in the ED were unused. Patients presenting with obstetric and gynecologic and neurologic symptoms were significantly more likely to have an unused cannula. Forty-three percent of patients admitted to the hospital with unused peripheral intravenous cannulas in the ED continued to have them unused 72 hours later. CONCLUSION: There is a high incidence of unused peripheral intravenous cannulas inserted in the ED. The risk of having an unused peripheral intravenous cannula is associated with the patient s presenting complaint. Efforts should be directed to reduce this rate of unused peripheral intravenous cannula insertion, especially in patients being admitted, to minimize the risk of complications.

AB - STUDY OBJECTIVE: Our study aims to determine the incidence of unused peripheral intravenous cannulas inserted in the emergency department (ED). METHODS: A retrospective cohort study using a structured electronic medical record review was performed in a 640-bed tertiary care hospital in Melbourne, Australia. During a 30-day period, all patients who had a peripheral intravenous cannula recorded as a procedure on their electronic medical record in the ED were included in this study. RESULTS: Fifty percent of peripheral intravenous cannulas inserted in the ED were unused. Patients presenting with obstetric and gynecologic and neurologic symptoms were significantly more likely to have an unused cannula. Forty-three percent of patients admitted to the hospital with unused peripheral intravenous cannulas in the ED continued to have them unused 72 hours later. CONCLUSION: There is a high incidence of unused peripheral intravenous cannulas inserted in the ED. The risk of having an unused peripheral intravenous cannula is associated with the patient s presenting complaint. Efforts should be directed to reduce this rate of unused peripheral intravenous cannula insertion, especially in patients being admitted, to minimize the risk of complications.

UR - http://www.ncbi.nlm.nih.gov/pubmed/23623052

U2 - 10.1016/j.annemergmed.2013.02.022

DO - 10.1016/j.annemergmed.2013.02.022

M3 - Article

VL - 62

SP - 521

EP - 525

JO - Annals of Emergency Medicine

JF - Annals of Emergency Medicine

SN - 0196-0644

IS - 5

ER -