An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project

Frances Fengzhi Lin; Niki Murphy; Angelly Martinez; Andrea Marshall

doi:10.1016/j.iccn.2022.103217

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An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project

Journal article

Peer reviewed

An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project

Frances Fengzhi Lin, Niki Murphy, Angelly Martinez and Andrea Marshall

Intensive & Critical Care Nursing, Vol.70, pp.1-6

2022

DOI: https://doi.org/10.1016/j.iccn.2022.103217

PMID: 35184971

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Abstract

Adherence

Audit

Care bundles

Central line associated bloodstream infection

Central venous catheter

Clinical practice guidelines

Intensive care

Central venous catheters are often used in managing critically ill patients. Clinical practice guidelines and care bundles exist to prevent central line associated blood stream infections; however, detailed adherence to these guidelines and care bundles is unclear. This study was aimed to describe clinicians’ adherence to recommended practices in central venous catheter insertion and management. A cross-sectional prospective observational study was conducted in the intensive care unit of an Australian tertiary hospital over a four-month period. We observed a total of 50 nurses during post insertion management, and 10 physicians during central venous catheter insertion using purposely designed observation tools. Our audit identified 90% adherence to recommended practices in central venous catheter insertion and 60% to post insertion management. However, there were areas where participants’ practices were not congruent with evidence-based recommendations, including choice of central venous catheter insertion site, type of central venous catheters, dressing choice, aseptic technique, and documentation. Our audit showed a detailed picture of clinician’s adherence to recommended practices in central venous catheter insertion and management. A clearer understanding of the barriers and facilitators of issues identified is needed to inform the design of future interventions to reduce central line related blood stream infections in the unit.

Details

Title: An audit of central venous catheter insertion and management practices in an Australian tertiary intensive care unit: A quality improvement project
Authors: Frances Fengzhi Lin (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Niki Murphy (Author) - Gold Coast Hospital
Angelly Martinez (Author) - Gold Coast Hospital
Andrea Marshall (Author) - Griffith University
Publication details: Intensive & Critical Care Nursing, Vol.70, pp.1-6
Publisher: Elsevier Ltd
Date published: 2022
DOI: 10.1016/j.iccn.2022.103217
ISSN: 1532-4036
PMID: 35184971
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99614908702621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Critical Care Medicine; Nursing

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