2017 Volume 32 Issue 5 Pages 1489-1494
OBJECTIVE: The peripherally inserted central venous catheter (PICC) is known as a catheter with less fatal complications, and its use has been gradually spreading in Japan. However, in our hospital, many catheters were accidentally removed due to complications. We considered the cause to be inadequate management after placement, and started PICC surveillance on 19 June 2014 to observe the PICC management and instruct nurses. After one year, we retrospectively evaluated the effect.
METHODS: We observed catheter fixation methods and infusion routes once a week, then pointed out and instructed inappropriate points. We also created our own manual and distributed it to all wards for daily management. We compared 125 PICCs (intervention group) that underwent PICC surveillance from June 2014 to June 2015 with 111 PICCs (control group) inserted from April 2010 to March 2012. The primary endpoint was the incidence of accidental PICC removals.
RESULTS: The incidence of accidental removals was significantly lower in the intervention group (32.4% in the control group and 16.8% in the intervention group) (odd ratio 0.421, p=0.005). The odds ratio after multivariable adjustment was 0.381 (p=0.004), and the risk reduction due to PICC surveillance was 61.9%.
CONCLUSION: Catheter management through PICC surveillance may contribute to the prevention of PICC complications.
