Summary of product trials for 10, 164 patients: comparing an intravenous stabilizing device to tape.
Inadequate catheter securement is an underrecognized patient safety issue that contributes significantly to catheter-related complications, including dislodgment, occlusion, infiltration, and infection. Pooled data from prospective product trials at 83 hospitals compared tape to a standard peripheral intravenous (PIV) securement method with a PIV-specific catheter-stabilizing device (StatLock). A 67% reduction (P<.001) in total patient complications was observed in the stabilizing device group, as compared with the tape group. Also, the need for unscheduled PIV restarts was reduced by 76% with the stabilizing device (P<.001). An annual cost savings of $18,000 per hospital on PIV materials and a combined savings of $277,000 on materials, complication costs, and nursing time were estimated on the basis of these reduced complications. Newer catheter-stabilizing technologies can help to reduce patient complications, for an overall cost savings, and consequently reduce needlestick exposures for healthcare providers by reducing restarts and prolonging dwell times.
Schears
Gregory J
GJ
Mayo Clinic, Rochester, Minnesota 55905, USA. Schears.gregory@mayo.edu
D000062:Accidents, Occupational / Q000517:prevention & control; D000269:Adhesives / Q000191:economics / Q000592:standards*; D001458:Bandages; D019985:Benchmarking / Q000458:organization & administration; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation* / Q000451:nursing; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation* / Q000451:nursing; D002408:Catheters, Indwelling / Q000009:adverse effects; D015400:Clinical Nursing Research; D017046:Cost Savings; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D008422:Materials Testing; D016602:Needlestick Injuries / Q000209:etiology / Q000517:prevention & control; D010689:Phlebitis / Q000453:epidemiology / Q000209:etiology; D011446:Prospective Studies; D017751:Safety Management; D013996:Time and Motion Studies; D016526:Workload
D000269:Adhesives