Impact of Defaulting to Single-Lumen Peripherally Inserted Central Catheters on Patient Outcomes: An Interrupted Time Series Study

Philip W Lam; Cheryl Volling; Tiffany Chan; J Bradley Wiggers; Lucas Castellani; Julie Wright; Kenneth Peckham; Steven Shadowitz; Stephen Tasker; Derek R MacFadden; Nick Daneman; Wayne L Gold; Robyn Pugash; Jerome A Leis

doi:10.1093/cid/ciy301

Impact of Defaulting to Single-Lumen Peripherally Inserted Central Catheters on Patient Outcomes: An Interrupted Time Series Study

Clin Infect Dis. 2018 Aug 31;67(6):954-957. doi: 10.1093/cid/ciy301.

Authors

Philip W Lam¹, Cheryl Volling¹, Tiffany Chan¹, J Bradley Wiggers¹, Lucas Castellani¹, Julie Wright¹, Kenneth Peckham², Steven Shadowitz², Stephen Tasker², Derek R MacFadden¹, Nick Daneman^{1

2}, Wayne L Gold^{1

3}, Robyn Pugash^{2

4}, Jerome A Leis^{1

2

5}

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, University of Toronto, Ontario, Canada.
² Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
³ University Health Network, Toronto, Ontario, Canada.
⁴ Department of Medical Imaging, University of Toronto, Ontario, Canada.
⁵ Centre for Quality Improvement and Patient Safety, University of Toronto, Ontario, Canada.

PMID: 29635457
DOI: 10.1093/cid/ciy301

Abstract

Defaulting to single-lumen peripherally inserted central catheters (PICCs) ordered from non-critical care units resulted in a sustained reduction in PICC-related complications. This system of care is transferrable to other institutions, with potential for improved patient safety and efficiency in outpatient parenteral antimicrobial therapy clinics.

Publication types

Evaluation Study

MeSH terms

Aged
Anti-Infective Agents / administration & dosage
Catheter-Related Infections / prevention & control*
Catheterization, Peripheral / methods
Catheterization, Peripheral / standards*
Female
Humans
Interrupted Time Series Analysis*
Male
Outpatients
Patient Safety / standards
Retrospective Studies
Risk Factors

Substances

Anti-Infective Agents