Compliance assessment regarding the PVC management on normal wards of a university hospital
Objective: The risk of peripheral venous catheter (PVC) infections in inpatients is often underestimated, even if it is lower than that for central venous catheters. Guidelines for the prevention of PVC-associated infections describe the evidence-based management of PVCs. The aims of this study were...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2023-01-01
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| Series: | GMS Hygiene and Infection Control |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000430.shtml |
| _version_ | 1828043494977961984 |
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| author | Rusinovich, Volha Rusinovich, Yury Chaberny, Iris F. Kolbe-Busch, Susanne |
| author_facet | Rusinovich, Volha Rusinovich, Yury Chaberny, Iris F. Kolbe-Busch, Susanne |
| author_sort | Rusinovich, Volha |
| collection | DOAJ |
| description | Objective: The risk of peripheral venous catheter (PVC) infections in inpatients is often underestimated, even if it is lower than that for central venous catheters. Guidelines for the prevention of PVC-associated infections describe the evidence-based management of PVCs. The aims of this study were the development of standardized methods for compliance assessment regarding PVC management and the evaluation of self-reported knowledge and implementations among healthcare providers regarding PVC care.Method: We developed a checklist based on the recommendation of the Commission of Hospital Hygiene and Infection Prevention at the Robert Koch Institute (KRINKO) Berlin for the standardized evaluation of PVC management. The following parameters were collected and evaluated: condition of the puncture site, condition of the bandage, presence of an extension set, presence of a plug, and documentation. The checklist was applied in 14 normal wards in 2019. After feedback of the ward staff on the results, it was applied again in 2020 in the same wards. For retrospective data analysis, we used a newly developed PVC-quality index. After the second evaluation in 2020, we carried out an anonymous survey among the healthcare providers.Results: The evaluation of 627 indwelling PVCs showed a significant increase in compliance related to the presence of an extension set (p=0.049) and documentation (p<0.001) in the 2nd year. The quality index increased in 12 out of 14 wards. The participants of the survey were aware of the in-house standard “Prevention of vascular catheter-associated infections”, with a mean score of 4.98 on a Likert scale (1=not aware, 7=completely aware). The main barrier to implementation of the preventive measures was the time factor. Survey participants were more aware of PVC placement than PVC care.Conclusion: The PVC quality index is a valuable tool for the assessment of compliance regarding PVC management in daily practice. Feedback from the ward staff on the results of compliance assessment improves PVC management, but the outcome is very heterogeneous. |
| first_indexed | 2024-04-10T17:42:23Z |
| format | Article |
| id | doaj.art-a1e64e22709b4c929fafc8bf38696eb7 |
| institution | Directory Open Access Journal |
| issn | 2196-5226 |
| language | deu |
| last_indexed | 2024-04-10T17:42:23Z |
| publishDate | 2023-01-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Hygiene and Infection Control |
| spelling | doaj.art-a1e64e22709b4c929fafc8bf38696eb72023-02-03T10:26:29ZdeuGerman Medical Science GMS Publishing HouseGMS Hygiene and Infection Control2196-52262023-01-0118Doc0410.3205/dgkh000430Compliance assessment regarding the PVC management on normal wards of a university hospitalRusinovich, Volha0Rusinovich, Yury1Chaberny, Iris F.2Kolbe-Busch, Susanne3Institute of Hygiene, Hospital Epidemiology and Environmental Health, University of Leipzig Medical, GermanyDepartment of Visceral, Transplant, Thoracic, and Vascular Surgery at University of Leipzig Medical, GermanyInstitute of Hygiene, Hospital Epidemiology and Environmental Health, University of Leipzig Medical, GermanyInstitute of Hygiene, Hospital Epidemiology and Environmental Health, University of Leipzig Medical, GermanyObjective: The risk of peripheral venous catheter (PVC) infections in inpatients is often underestimated, even if it is lower than that for central venous catheters. Guidelines for the prevention of PVC-associated infections describe the evidence-based management of PVCs. The aims of this study were the development of standardized methods for compliance assessment regarding PVC management and the evaluation of self-reported knowledge and implementations among healthcare providers regarding PVC care.Method: We developed a checklist based on the recommendation of the Commission of Hospital Hygiene and Infection Prevention at the Robert Koch Institute (KRINKO) Berlin for the standardized evaluation of PVC management. The following parameters were collected and evaluated: condition of the puncture site, condition of the bandage, presence of an extension set, presence of a plug, and documentation. The checklist was applied in 14 normal wards in 2019. After feedback of the ward staff on the results, it was applied again in 2020 in the same wards. For retrospective data analysis, we used a newly developed PVC-quality index. After the second evaluation in 2020, we carried out an anonymous survey among the healthcare providers.Results: The evaluation of 627 indwelling PVCs showed a significant increase in compliance related to the presence of an extension set (p=0.049) and documentation (p<0.001) in the 2nd year. The quality index increased in 12 out of 14 wards. The participants of the survey were aware of the in-house standard “Prevention of vascular catheter-associated infections”, with a mean score of 4.98 on a Likert scale (1=not aware, 7=completely aware). The main barrier to implementation of the preventive measures was the time factor. Survey participants were more aware of PVC placement than PVC care.Conclusion: The PVC quality index is a valuable tool for the assessment of compliance regarding PVC management in daily practice. Feedback from the ward staff on the results of compliance assessment improves PVC management, but the outcome is very heterogeneous.http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000430.shtmlcatheter related infectionperipheral venous cathetercompliance assessmentcompliance self-assessmentperipheral venous catheter quality index |
| spellingShingle | Rusinovich, Volha Rusinovich, Yury Chaberny, Iris F. Kolbe-Busch, Susanne Compliance assessment regarding the PVC management on normal wards of a university hospital GMS Hygiene and Infection Control catheter related infection peripheral venous catheter compliance assessment compliance self-assessment peripheral venous catheter quality index |
| title | Compliance assessment regarding the PVC management on normal wards of a university hospital |
| title_full | Compliance assessment regarding the PVC management on normal wards of a university hospital |
| title_fullStr | Compliance assessment regarding the PVC management on normal wards of a university hospital |
| title_full_unstemmed | Compliance assessment regarding the PVC management on normal wards of a university hospital |
| title_short | Compliance assessment regarding the PVC management on normal wards of a university hospital |
| title_sort | compliance assessment regarding the pvc management on normal wards of a university hospital |
| topic | catheter related infection peripheral venous catheter compliance assessment compliance self-assessment peripheral venous catheter quality index |
| url | http://www.egms.de/static/en/journals/dgkh/2023-18/dgkh000430.shtml |
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