Peripheral intravenous catheter insertion in the Emergency Department

Human factor‐designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion

“…Decker et al . also noted similar findings within a Victorian tertiary ED, where educational campaigns and changes to PIVC equipment and trolley layout led to reductions in PIVC placements …”

“…The effectiveness of MMI in advocating best practice is well described. Studies among paramedics, ED and inpatient wards suggest that MMI are a useful tool in changing clinical practices and improving patient safety.…”

Review article: Idle ‘just‐in‐case’ peripheral intravenous cannulas in the emergency department: Is something wrong?

“…The 21 publications were categorised against the NHMRC criteria: Level II : one randomised controlled trial and four prospective cohort studies Level III‐2 : two non‐randomised experimental trials and three retrospective cohort studies Level IV : three cross‐sectional analyses …”

“…Second, authors defined ‘used’ for a PIVC. If non‐compliant, PIVCs were deemed ‘idle’ or ‘unused’ . Third, authors employed minor variants along the lines of ‘cannulas left in situ without any medication or fluid infusion’ combined with a time descriptor.…”

“…A total of 4017 articles were reduced to a final total of 21 (Fig. , Table , Appendix S2) . Relevant observational, interventional and qualitative studies were included, as well as letters‐to‐the‐editor or author perspectives.…”