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Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters.

Publication ,  Journal Article
Waterhouse, J; Bandisode, V; Brandon, D; Olson, M; Docherty, SL
Published in: AACN advanced critical care
July 2014

This project evaluated the implementation of use of the StatLock stabilization device (Bard Access Systems, Inc, Salt Lake City, Utah) for peripherally inserted central catheters (PICCs) in pediatric cardiology patients. The aim was to implement the use of the StatLock device and evaluate its effects on the following 4 outcomes: incidence of dislodgement, infection, catheter dwell time, and the number of catheter replacements. The primary goal was to determine whether the StatLock device offered advantages over tape and sutures.A quality improvement design was used to evaluate whether the use of the StatLock stabilization device for PICC securement on 30 pediatric cardiology patients decreased the number of PICC complications compared with 30 historical comparison patients.The comparison group had a significantly higher number of catheter dislodgements (n = 16; 59.3%) than the StatLock group (n = 8; 30.8%; P = .035). The comparison group did not have a significantly higher number of catheter replacements (n = 16; 59.3%) than the StatLock group (n = 10; 34.5%; P = .10). No significant differences were found in the rate of infection or in the catheter dwell time between the 2 groups (StatLock group, mean ± SD = 33.13 ± 22.71 days; comparison group, mean ± SD = 28.10 ± 24.83 days; P > .20).Use of the StatLock device resulted in better outcomes when compared with the use of sutures, and it provided a more effective way to stabilize and secure PICCs.

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Published In

AACN advanced critical care

DOI

EISSN

1559-7776

ISSN

1559-7768

Publication Date

July 2014

Volume

25

Issue

3

Start / End Page

213 / 220

Related Subject Headings

  • Quality of Health Care
  • Nursing
  • Infant, Newborn
  • Infant
  • Humans
  • Child, Preschool
  • Child
  • Catheterization, Peripheral
  • Adolescent
  • 4205 Nursing
 

Citation

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Chicago
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Waterhouse, J., Bandisode, V., Brandon, D., Olson, M., & Docherty, S. L. (2014). Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters. AACN Advanced Critical Care, 25(3), 213–220. https://doi.org/10.1097/nci.0000000000000026
Waterhouse, Jennifer, Varsha Bandisode, Debra Brandon, Meredith Olson, and Sharron L. Docherty. “Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters.AACN Advanced Critical Care 25, no. 3 (July 2014): 213–20. https://doi.org/10.1097/nci.0000000000000026.
Waterhouse J, Bandisode V, Brandon D, Olson M, Docherty SL. Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters. AACN advanced critical care. 2014 Jul;25(3):213–20.
Waterhouse, Jennifer, et al. “Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters.AACN Advanced Critical Care, vol. 25, no. 3, July 2014, pp. 213–20. Epmc, doi:10.1097/nci.0000000000000026.
Waterhouse J, Bandisode V, Brandon D, Olson M, Docherty SL. Evaluation of the use of a stabilization device to improve the quality of care in patients with peripherally inserted central catheters. AACN advanced critical care. 2014 Jul;25(3):213–220.

Published In

AACN advanced critical care

DOI

EISSN

1559-7776

ISSN

1559-7768

Publication Date

July 2014

Volume

25

Issue

3

Start / End Page

213 / 220

Related Subject Headings

  • Quality of Health Care
  • Nursing
  • Infant, Newborn
  • Infant
  • Humans
  • Child, Preschool
  • Child
  • Catheterization, Peripheral
  • Adolescent
  • 4205 Nursing