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Variation in use of technology among vascular access specialists: an analysis of the PICC1 survey
- Source :
- The Journal of Vascular Access. 18:243-249
- Publication Year :
- 2017
- Publisher :
- SAGE Publications, 2017.
-
Abstract
- Background While the use of technologies such as ultrasound and electrocardiographic (ECG) guidance systems to place peripherally inserted central catheters (PICCs) has grown, little is known about the clinicians who use these tools or their work settings. Methods Using data from a national survey of vascular access specialists, we identified technology users as PICC inserters that: (a) use ultrasound to find a suitable vein for catheter placement; (b) measure catheter-to-vein ratio; and (c) use ECG for PICC placement. Individual and organizational-level characteristics between technology users versus non-users were assessed. Bivariable comparisons were made using Chi-squared or Fisher's exact tests; two-sided alpha with pResults Of the 2762 PICC inserters who accessed the survey, 1518 (55%) provided information regarding technology use. Technology users reported greater experience than non-technology users, with a higher percentage stating they had placed >1000 PICCs (55% vs. 45%, pConclusions Technology use by vascular access clinicians while placing PICCs is associated with clinician characteristics, work setting and practice factors. Understanding whether such differences influence clinical care or patient outcomes appears necessary.
- Subjects :
- medicine.medical_specialty
MEDLINE
Vascular access
Workload
Peripherally inserted central catheter
Electrocardiography
03 medical and health sciences
Patient safety
Catheters, Indwelling
0302 clinical medicine
Catheterization, Peripheral
Humans
Medicine
030212 general & internal medicine
Use of technology
Healthcare Disparities
Practice Patterns, Physicians'
Intensive care medicine
Ultrasonography, Interventional
Chi-Square Distribution
business.industry
030208 emergency & critical care medicine
Equipment Design
Nephrology
Health Care Surveys
Physical therapy
Surgery
Clinical Competence
business
Catheter placement
Chi-squared distribution
Subjects
Details
- ISSN :
- 17246032 and 11297298
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- The Journal of Vascular Access
- Accession number :
- edsair.doi.dedup.....4688645b10e9f2bbc3258a3b355c33ee