| Autor: |
Patel, Vikesh, Chemban, Faiz M, Samad, Sohel, Swan, Thomas, Gooch, James, Dean, Jonathan, Pearson, Darcy, Heij, Robin, Young, Peter J, Mariyaselvam, Maryanne ZA |
| Zdroj: |
Journal of the Intensive Care Society; May 2023, Vol. 24 Issue: 2 p195-200, 6p |
| Abstrakt: |
Background Guidewire retention and sharps injury during central venous catheter insertion are errors that cause patient and healthcare professional harm. The WireSafeTMis a novel procedure safety pack engineered to prevent guidewire retention and sharps injury during central venous catheter insertion. This is a pilot study aimed to determine its acceptability, usability and safety during clinical practice.Methods An observational time and motion study was conducted comparing central venous catheter insertion and sharps disposal practice using standard versus WireSafeTMtechniques. One-year following implementation, a structured survey was conducted to determine clinician opinion and experiences of using the WireSafeTM.Results 15 procedures were observed using standard practice and 16 using the WireSafeTMtechnique. The WireSafeTMtechnique decreased the time taken from removal of the guidewire to disposal of sharps (standard 11.4 ± 5.6 min vs WireSafeTM8.7 ± 1.4 min, p= 0.035), as well as total procedure time (standard 16 ± 7 min vs WireSafeTM14.2 ± 2 min, p= 0.17), although this latter trend did not reach significance. Clinicians frequently practiced unsafe behaviour during sharps disposal in the standard group (53%), but when using the WireSafeTMtechnique, 100% exhibited safe practice by transferring sharps to the bin inside the sealed WireSafeTMbox. One-year following implementation, 20 clinicians participated in the structured survey. Clinicians across three different departments used the WireSafeTMin varying clinical situations and reported that its use for central line insertion was either easier (10/20) or no different (10/20) compared to standard practice. All clinicians (20/20) felt that the WireSafeTMreduced the risk of guidewire retention and all stated that they approved of the WireSafeTMtechnique, and supported its use for convenience and safety benefits.Conclusion Utilising the WireSafeTMfor central line insertion facilitated earlier and safer sharps disposal, and the device was well supported by clinicians for its convenience and safety benefits. |
| Databáze: |
Supplemental Index |
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