Incidence of Nonelective Removal of Percutaneously Inserted Central Catheters According to Tip Position in Neonates

Costa, Priscila; Bueno, Mariana; Alves, Angelina Maria Aparecida; Kimura, Amélia Fumiko

doi:10.1111/1552-6909.12030

Cited by 17 publications

(12 citation statements)

References 17 publications

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“…Based on a previous study 11 conducted in the same NICU which observed that the prevalence of unscheduled PICC removal was 37.7%, the minimum odds ratios which could be detected for a binary stratification variable with the sample size used in this study (524 PICC insertions), at the 5% level of significance, with 80% power, was 1.45.…”

Section: Methodsmentioning

confidence: 89%

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns

Costa

Kimura

Brandon

et al. 2015

Rev. Latino-Am. Enfermagem

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OBJECTIVE: to develop a risk score for unplanned removal of peripherally inserted central catheter in newborns. METHOD: prospective cohort study conducted in a neonatal intensive care unit with newborn babies who underwent 524 catheter insertions. The clinical characteristics of the newborn, catheter insertion and intravenous therapy were tested as risk factors for the unplanned removal of catheters using bivariate analysis. The risk score was developed using logistic regression. Accuracy was internally validated based on the area under the Receiver Operating Characteristic curve. RESULTS: the risk score was made up of the following risk factors: transient metabolic disorders; previous insertion of catheter; use of a polyurethane double-lumen catheter; infusion of multiple intravenous solutions through a single-lumen catheter; and tip in a noncentral position. Newborns were classified into three categories of risk of unplanned removal: low (0 to 3 points), moderate (4 to 8 points), and high (≥ 9 points). Accuracy was 0.76. CONCLUSION: the adoption of evidence-based preventative strategies based on the classification and risk factors faced by the newborn is recommended to minimize the occurrence of unplanned removals.

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Section: Methodsmentioning

confidence: 89%

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns

Costa

Kimura

Brandon

et al. 2015

Rev. Latino-Am. Enfermagem

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“…Advances in neonatology care have achieved an increase in the survival rate of premature and ill newborns. These patients frequently require intravenous treatment which poses a higher risk of adverse events [ 1 ]. The incidence of medication-related errors in children is two- to three-times higher than in adults.…”

Section: Introductionmentioning

confidence: 99%

Smart pumps and random safety audits in a Neonatal Intensive Care Unit: a new challenge for patient safety

et al. 2015

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BackgroundRandom safety audits (RSA) are a safety tool enabling prevention of adverse events, but they have not been widely used in hospitals. The aim of this study was to use RSAs to assess and compare the frequency of appropriate use of infusion pump safety systems in a Neonatal Intensive Care Unit (NICU) before and after quality improvement interventions and to analyse the intravenous medication programming data.MethodsProspective, observational study comparing the frequency of appropriate use of Alaris® CC smart pumps through RSAs over two periods, from 1 January to 31 December 2012 and from 1 November 2014 to 31 January 2015. Appropriate use was defined as all evaluated variables being correctly programmed into the same device. Between the two periods they were established interventions to improve the use of pumps. The information recorded at the pumps with the new security system, also extracted for one year.ResultsFifty-two measurements were collected during the first period and 160 measurements during the second period. The frequency of appropriate use was 73.13 % (117/160) in the second period versus 0 % (0/52) in the first period (p < 0.0001). Information was recorded on 44,924 infusions; in 46.03 % (20,680/44,924) of cases the drug name was recorded. In 2.5 % (532/20,680) of cases there was an attempt to exceed the absolute limit.ConclusionsRandom Safety Audits were a very useful tool for detecting inappropriate use of pumps in the NICU. The improvement strategies were effective for improving appropriate use and programming of the intravenous medication infusion pumps in our NICU.

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“…Advancement in the care of neonates has resulted in the increase of survival rate for prematurely born and sick neonates who often need intravenous treatment. The unavailability of solutions in different concentrations leads to required computations in prescribing medications and dilution of medications that would expose the neonates to higher risks of drug errors and side effects (Costa et al 2013). Neonates are prone to more serious complications due to ADR because of their small size, physiological prematurity, limited reparative abilities, rapid changes in body weight and surface, impediments in communication with the caregiver, reduction in body metabolism, and excretion of the drug due to immature kidney and liver.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Reasons for Failing to Report Adverse Drug Reactions (ADR) by Nurses of Neonatal Intensive Care Unit in the Year 2015

Mahboubi

Borimnedjad

Haghani

et al. 2017

JCCNC

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Background: Due to their inherent characteristics, neonates hospitalized in the neonatal intensive care units are more often exposed to medication errors and its adverse effects. The aim of this study is to determine the reasons for failure to report Adverse Drug Reaction (ADR) experienced by nurses employed at these units in educational and treatment centers affiliated to the Iran University of Medical Sciences in the city of Tehran in the year 2015. Methods: This cross-sectional study was conducted by using Gupta and colleagues' Questionnaire with its validity and reliability verified by the research team in Iran. Data were collected by using the available sampling method in the educational and treatment centers affiliated to Iran University of Medical Sciences, from November 2015 to March 2016. The collected data were analyzed by using SPSS software version 16. Results: Of 96 nurses taking part in this study, 68 (70.8%) had experienced incidences of adverse drug reactions. However, only 43 of them (44.8%) have reported them. Regarding the reasons for not reporting ADRs, 51 nurses (53.1%) stated difficulty in detecting the incidence of error, 19 (19.8%) stated not having the right to receive remuneration for doing so, 16 (16.7%) stated the shortage of time, and 10 (10.4%) reported lack of effectiveness had they reported it. Conclusion: Since many complications can be prevented in neonates by timely reporting of these ADRs, it is recommended that removing the impediments in the path of reporting errors should come under consideration as a management and care priority by directors and officials of medical centers.

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Incidence of Nonelective Removal of Percutaneously Inserted Central Catheters According to Tip Position in Neonates

Cited by 17 publications

References 17 publications

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns

Smart pumps and random safety audits in a Neonatal Intensive Care Unit: a new challenge for patient safety

Investigating the Reasons for Failing to Report Adverse Drug Reactions (ADR) by Nurses of Neonatal Intensive Care Unit in the Year 2015

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