Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis
Abstract Background The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specia...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Cost Effectiveness and Resource Allocation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12962-023-00464-6 |
| _version_ | 1797452546526150656 |
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| author | Laura Ricou Ríos Candela Esposito Català Arnau Pons Calsapeu Cristina Adroher Mas Isabel Andrés Martínez Isaac Nuño Ruiz Mònica Castellà Creus Laia Castellà Fàbregas Maria José García Quesada Oriol Estrada Cuxart Jordi Ara del Rey Francesc López Seguí |
| author_facet | Laura Ricou Ríos Candela Esposito Català Arnau Pons Calsapeu Cristina Adroher Mas Isabel Andrés Martínez Isaac Nuño Ruiz Mònica Castellà Creus Laia Castellà Fàbregas Maria José García Quesada Oriol Estrada Cuxart Jordi Ara del Rey Francesc López Seguí |
| author_sort | Laura Ricou Ríos |
| collection | DOAJ |
| description | Abstract Background The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs. Methods Cost-benefit analysis from the perspective of the healthcare provider based on administrative data. The study estimates the reduction in resources used when changing the current practice for the use of ultrasound-guided midline and PICC catheters, as well as the additional resources required for their use. Results The use of an ultrasound-guided device on peripherally inserted central carheter, results in a measurable resource reduction of approximately €31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is €63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of €16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of €96. Conclusion The benefits of using ultrasound-guided midline and PICC catheters compared to current practice by introducing a vascular access specialist team trained in the implantation of ultrasound-guided catheters, outweigh its cost mainly because of the decrease in hospital stay due to the lowered risk of phebitis. These results motivate the implementation of the service, adding to previous experience suggesting that it is also preferable from the point of view of patient safety and satisfaction. |
| first_indexed | 2024-03-09T15:10:16Z |
| format | Article |
| id | doaj.art-d48ddc8fcaf74e4a95c19f745930cd69 |
| institution | Directory Open Access Journal |
| issn | 1478-7547 |
| language | English |
| last_indexed | 2024-03-09T15:10:16Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Cost Effectiveness and Resource Allocation |
| spelling | doaj.art-d48ddc8fcaf74e4a95c19f745930cd692023-11-26T13:27:39ZengBMCCost Effectiveness and Resource Allocation1478-75472023-09-012111810.1186/s12962-023-00464-6Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysisLaura Ricou Ríos0Candela Esposito Català1Arnau Pons Calsapeu2Cristina Adroher Mas3Isabel Andrés Martínez4Isaac Nuño Ruiz5Mònica Castellà Creus6Laia Castellà Fàbregas7Maria José García Quesada8Oriol Estrada Cuxart9Jordi Ara del Rey10Francesc López Seguí11Direcció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la SalutCRES - Centre de Recerca en Economia de la Salut, Universitat Pompeu FabraDirecció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la SalutCRES - Centre de Recerca en Economia de la Salut, Universitat Pompeu FabraHospital Universitari Germans Trias i Pujol, Institut Català de la SalutHospital Universitari Germans Trias i Pujol, Institut Català de la SalutHospital Universitari Germans Trias i Pujol, Institut Català de la SalutHospital Universitari Germans Trias i Pujol, Institut Català de la SalutHospital Universitari Germans Trias i Pujol, Institut Català de la SalutDirecció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la SalutGerència Territorial Metropolitana Nord, Institut Català de la SalutDirecció d’Estratègia Assistencial, Gerència Territorial Metropolitana Nord, Institut Català de la SalutAbstract Background The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs. Methods Cost-benefit analysis from the perspective of the healthcare provider based on administrative data. The study estimates the reduction in resources used when changing the current practice for the use of ultrasound-guided midline and PICC catheters, as well as the additional resources required for their use. Results The use of an ultrasound-guided device on peripherally inserted central carheter, results in a measurable resource reduction of approximately €31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is €63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of €16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of €96. Conclusion The benefits of using ultrasound-guided midline and PICC catheters compared to current practice by introducing a vascular access specialist team trained in the implantation of ultrasound-guided catheters, outweigh its cost mainly because of the decrease in hospital stay due to the lowered risk of phebitis. These results motivate the implementation of the service, adding to previous experience suggesting that it is also preferable from the point of view of patient safety and satisfaction.https://doi.org/10.1186/s12962-023-00464-6CathetersCost benefit analysisEconomic evaluationHealthcare-associated infectionsNursing carePeripherally inserted Central Catheter |
| spellingShingle | Laura Ricou Ríos Candela Esposito Català Arnau Pons Calsapeu Cristina Adroher Mas Isabel Andrés Martínez Isaac Nuño Ruiz Mònica Castellà Creus Laia Castellà Fàbregas Maria José García Quesada Oriol Estrada Cuxart Jordi Ara del Rey Francesc López Seguí Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis Cost Effectiveness and Resource Allocation Catheters Cost benefit analysis Economic evaluation Healthcare-associated infections Nursing care Peripherally inserted Central Catheter |
| title | Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis |
| title_full | Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis |
| title_fullStr | Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis |
| title_full_unstemmed | Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis |
| title_short | Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis |
| title_sort | implementation of a vascular access specialist team in a tertiary hospital a cost benefit analysis |
| topic | Catheters Cost benefit analysis Economic evaluation Healthcare-associated infections Nursing care Peripherally inserted Central Catheter |
| url | https://doi.org/10.1186/s12962-023-00464-6 |
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