Peripheral Intravenous Cannula Insertion and Use in the Emergency Department

An Intervention Study

Tracey Hawkins, Jaimi H. Greenslade, Jessica Suna, Julian Williams, Claire M. Rickard, Matthew Jensen, Maria Donohue, Elizabeth Cho, Christopher Van Hise, Diana Egerton-Warburton, Louise Cullen

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Objectives: The objective was to examine cannulation practice and effectiveness of a multimodal intervention to reduce peripheral intravenous cannula (PIVC) insertion in emergency department (ED) patients. Methods: A prospective before and after study and cost analysis was conducted at a single tertiary ED in Australia. Data were collected 24 hours a day for 2 weeks pre- and post implementation of a multimodal intervention. PIVC placement and utilization within 24 hours were evaluated in all eligible patients. Results: A total of 4,173 participants were included in the analysis. PIVCs were placed in 42.1% of patients' pre intervention and 32.4% post intervention, a reduction of 9.8% (95% confidence interval [CI] = 6.8 to –12.72%). PIVC usage within 24 hours of admission was 70.5% pre intervention and 83.4% post intervention, an increase of 12.9% (95% CI = 8.8% to 17.0%). Sixty-six patients were observed in the ED for cost analysis. The mean time per PIVC insertion was 15.3 (95% CI = 12.6 to 17.9) minutes. PIVC insertion cost, including staff time and consumables per participant, was A$22.79 (95% CI = A$19.35 to A$26.23). Conclusions: The intervention reduced PIVC placement in the ED and increased the percentage of PIVCs placed that were used. This program benefits patients and health services alike, with potential for large cost savings.

Original languageEnglish
Pages (from-to)26-32
Number of pages7
JournalAcademic Emergency Medicine
Volume25
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Cite this

Hawkins, T., Greenslade, J. H., Suna, J., Williams, J., Rickard, C. M., Jensen, M., ... Cullen, L. (2018). Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study. Academic Emergency Medicine, 25(1), 26-32. https://doi.org/10.1111/acem.13335
Hawkins, Tracey ; Greenslade, Jaimi H. ; Suna, Jessica ; Williams, Julian ; Rickard, Claire M. ; Jensen, Matthew ; Donohue, Maria ; Cho, Elizabeth ; Hise, Christopher Van ; Egerton-Warburton, Diana ; Cullen, Louise. / Peripheral Intravenous Cannula Insertion and Use in the Emergency Department : An Intervention Study. In: Academic Emergency Medicine. 2018 ; Vol. 25, No. 1. pp. 26-32.
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abstract = "Objectives: The objective was to examine cannulation practice and effectiveness of a multimodal intervention to reduce peripheral intravenous cannula (PIVC) insertion in emergency department (ED) patients. Methods: A prospective before and after study and cost analysis was conducted at a single tertiary ED in Australia. Data were collected 24 hours a day for 2 weeks pre- and post implementation of a multimodal intervention. PIVC placement and utilization within 24 hours were evaluated in all eligible patients. Results: A total of 4,173 participants were included in the analysis. PIVCs were placed in 42.1{\%} of patients' pre intervention and 32.4{\%} post intervention, a reduction of 9.8{\%} (95{\%} confidence interval [CI] = 6.8 to –12.72{\%}). PIVC usage within 24 hours of admission was 70.5{\%} pre intervention and 83.4{\%} post intervention, an increase of 12.9{\%} (95{\%} CI = 8.8{\%} to 17.0{\%}). Sixty-six patients were observed in the ED for cost analysis. The mean time per PIVC insertion was 15.3 (95{\%} CI = 12.6 to 17.9) minutes. PIVC insertion cost, including staff time and consumables per participant, was A$22.79 (95{\%} CI = A$19.35 to A$26.23). Conclusions: The intervention reduced PIVC placement in the ED and increased the percentage of PIVCs placed that were used. This program benefits patients and health services alike, with potential for large cost savings.",
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Hawkins, T, Greenslade, JH, Suna, J, Williams, J, Rickard, CM, Jensen, M, Donohue, M, Cho, E, Hise, CV, Egerton-Warburton, D & Cullen, L 2018, 'Peripheral Intravenous Cannula Insertion and Use in the Emergency Department: An Intervention Study', Academic Emergency Medicine, vol. 25, no. 1, pp. 26-32. https://doi.org/10.1111/acem.13335

Peripheral Intravenous Cannula Insertion and Use in the Emergency Department : An Intervention Study. / Hawkins, Tracey; Greenslade, Jaimi H.; Suna, Jessica; Williams, Julian; Rickard, Claire M.; Jensen, Matthew; Donohue, Maria; Cho, Elizabeth; Hise, Christopher Van; Egerton-Warburton, Diana; Cullen, Louise.

In: Academic Emergency Medicine, Vol. 25, No. 1, 01.01.2018, p. 26-32.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Peripheral Intravenous Cannula Insertion and Use in the Emergency Department

T2 - An Intervention Study

AU - Hawkins, Tracey

AU - Greenslade, Jaimi H.

AU - Suna, Jessica

AU - Williams, Julian

AU - Rickard, Claire M.

AU - Jensen, Matthew

AU - Donohue, Maria

AU - Cho, Elizabeth

AU - Hise, Christopher Van

AU - Egerton-Warburton, Diana

AU - Cullen, Louise

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objectives: The objective was to examine cannulation practice and effectiveness of a multimodal intervention to reduce peripheral intravenous cannula (PIVC) insertion in emergency department (ED) patients. Methods: A prospective before and after study and cost analysis was conducted at a single tertiary ED in Australia. Data were collected 24 hours a day for 2 weeks pre- and post implementation of a multimodal intervention. PIVC placement and utilization within 24 hours were evaluated in all eligible patients. Results: A total of 4,173 participants were included in the analysis. PIVCs were placed in 42.1% of patients' pre intervention and 32.4% post intervention, a reduction of 9.8% (95% confidence interval [CI] = 6.8 to –12.72%). PIVC usage within 24 hours of admission was 70.5% pre intervention and 83.4% post intervention, an increase of 12.9% (95% CI = 8.8% to 17.0%). Sixty-six patients were observed in the ED for cost analysis. The mean time per PIVC insertion was 15.3 (95% CI = 12.6 to 17.9) minutes. PIVC insertion cost, including staff time and consumables per participant, was A$22.79 (95% CI = A$19.35 to A$26.23). Conclusions: The intervention reduced PIVC placement in the ED and increased the percentage of PIVCs placed that were used. This program benefits patients and health services alike, with potential for large cost savings.

AB - Objectives: The objective was to examine cannulation practice and effectiveness of a multimodal intervention to reduce peripheral intravenous cannula (PIVC) insertion in emergency department (ED) patients. Methods: A prospective before and after study and cost analysis was conducted at a single tertiary ED in Australia. Data were collected 24 hours a day for 2 weeks pre- and post implementation of a multimodal intervention. PIVC placement and utilization within 24 hours were evaluated in all eligible patients. Results: A total of 4,173 participants were included in the analysis. PIVCs were placed in 42.1% of patients' pre intervention and 32.4% post intervention, a reduction of 9.8% (95% confidence interval [CI] = 6.8 to –12.72%). PIVC usage within 24 hours of admission was 70.5% pre intervention and 83.4% post intervention, an increase of 12.9% (95% CI = 8.8% to 17.0%). Sixty-six patients were observed in the ED for cost analysis. The mean time per PIVC insertion was 15.3 (95% CI = 12.6 to 17.9) minutes. PIVC insertion cost, including staff time and consumables per participant, was A$22.79 (95% CI = A$19.35 to A$26.23). Conclusions: The intervention reduced PIVC placement in the ED and increased the percentage of PIVCs placed that were used. This program benefits patients and health services alike, with potential for large cost savings.

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