Management of residual volumes in intermittent medication infusions
“This review will improve understanding of current practices by examining flushing procedures used in the management of residual volume, identifying instances when residual volume is discarded, documenting effects on dosing, examining the impact on patient outcomes, and examining possible environmental harm from waste disposal of undelivered medication” Rout et al (2024).
Peripheral intravenous catheter standard of care
“Our aim is to provide concise guidance that will enhance and standardize practices related to PIVC. By consolidating current standards of practice into a comprehensive document, our framework seeks to advance the quality of care and improve patient safety” Thompson et al (2024).
Reducing blood culture contamination – Full Text
“The study demonstrated a substantial reduction in blood culture contamination rates through targeted interventions, highlighting the efficacy of combining evidence-based strategies with interdisciplinary teamwork to improve patient care outcomes” Eisenberg et al (2024).
Financial burden of extravasation and infiltration
“Infiltration and extravasation injuries are a common complication of intravenous therapy and vascular access practice. However, there remains a lack of awareness and understanding surrounding these injuries” Barton (2024).
Risk factors for a failed first attempt pediatric subclavian CVC insertion
“The aim of this observational study was to investigate the risk factors of a failed first attempt at pediatric central venous catheter (CVC) placement and its impact on CVC-related morbidity” Jarraya et al (2024).
Decreasing hemolysis rates through phlebotomy education
“The purpose of this project was to investigate the impact providing phlebotomy education to ED staff has on lowering departmental hemolysis rates” Bartolomeo et al (2024).
Reducing venipuncture pain and anxiety in pediatric emergency departments
“Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups” Quintela-Sánchez et al (2024).
Comparison of capillary finger stick and venous blood sampling – Full Text
“In conclusion, capillary blood draw is a suitable alternative for venous blood sampling for measuring most of the investigated analytes. This benefits patients with fear of needles and might pave the way for remote self-sampling” Doeleman et al (2024).
Tunneled hemodialysis catheters in the treatment of acute kidney disease
“TDCs appear to be a safer and more effective option for AKD patients requiring urgent and prolonged hemodialysis, with fewer complications and longer catheter function” Shigidi (2024).
Glucose monitoring in adults receiving overnight infusions of home parenteral nutrition
“Consumers of home parenteral nutrition (HPN) are susceptible to dysglycemia. The aim was to characterize 24-h glucose profiles of HPN consumers using continuous glucose monitors (CGM) and to identify factors that influence glucose” Saravana et al (2024).
Review of antiseptics for neonatal skin disinfection
“All three antiseptics [2% chlorhexidine gluconate in 70% isopropyl alcohol(CHG + IPA), 10% Povidone Iodine(PI), and 70% isopropyl alcohol(AL)] cause significant reduction in bacterial colony counts. CHG + IPA has the maximum efficacy as assessed by log reduction of bacterial colony counts with optimal residual effect favouring its usage in term neonates” Jagalasar et al (2024).
Intervention to increase daily chlorhexidine bathing and CLABSI rate reduction
“After an increase of central line-associated bloodstream infections (CLABSIs) at our community hospital in 2021, a case-control study suggested that patients with CLABSIs were 3.0 times more likely to have missed daily chlorhexidine gluconate (CHG) bathing than patients without CLABSIs” Krier et al (2024).
Blood culture initial specimen diversion device comparison – Full Text
“Although the initial specimen diversion device (ISDD) has been shown to reduce blood culture contamination (BCC) rates, its impact on clinical outcomes remains unclear” Febres-Aldana et al (2024).
The effects of virtual reality and stress ball distraction on phlebotomy associated pain
“Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors” Gerçeker et al (2024).
Patient management during a global intravenous fluid shortage
“We recommend transitioning intravenous (IV) antibiotics to IV push or oral when possible, discontinuing IVF bolus prior to neuraxial anesthesia or for the treatment of preterm labor, and avoiding unnecessary continuous IVF infusions” Heerboth et al (2024).
Review of IV catheter dressings in chemotherapy patients – Full Text
“This study aimed to determine the effect of two different catheter dressings on the patient’s comfort, satisfaction, pain level, and nurse satisfaction. A randomized controlled study was designed” Burucu et al (2024).
Iron skin staining following IV iron infusion – Full Text
“Iron skin staining is a rare and potentially irreversible side effect of parenteral iron preparations due to cutaneous and subcutaneous tissue extravasation” Dias da Costa et al (2024).
Central venous catheter-related infection systematic review – Full Text
“This systematic review and meta-analysis aimed to compare the risk of catheter-related infection with US-guided CVC versus AL technique” Boulet et al (2024).
Fluid resuscitation in trauma – Position statement – Full Text
“Risks of IV fluid use, or restriction, in trauma resuscitation should be weighed against possible benefits. Strategies to reduce the need for IV fluids should be considered” McMullan et al (2024).
Needle type for continuous subcutaneous insulin infusion – Full Text
“We present a mismatch between a patient’s total daily dosage of insulin between what was expected and what was being delivered from a pump; ultimately, this required changing the infusion site and switching the type of catheter used, with resolution and improvement in clinical and glycemic status” Barnett et al (2024).
Phlebotomy order of draw
“A phlebotomist (or any medical professional who is tasked with collecting blood samples from patients) must remember several key principles regarding blood collection. One of these principles is what’s known as “the order of draw.” At first glance, the average person may think that the order of draw is merely an optional suggestion. Many are not even aware that an order of draw exists or see the importance of adhering to it” Williams-Montgomery (2024).
Assessment of parental efficacy in managing child anaphylaxis using adrenaline autoinjectors
“This study aimed to assess parental self-efficacy in managing child’s anaphylaxis and administering AAI to understand how to effectively support families” Polloni et al (2024).
Implantable port patient education animated videos – Full Text
“This study aimed to discuss the clinical value of health education using an animated video for postoperative patients with digital subtraction angiography (DSA)-guided implantable venous access ports” Jin et al (2024).
Bubble blowing and ball squeezing in reducing anxiety during venipuncture
“The study discovered that interventions involving bubble blowing and ball squeezing significantly decreased children’s levels of anxiety, fear, and pain both during and after intravenous procedures” Sarman and Tuncay (2024).
Extravasation of radiopharmaceuticals
“The likelihood of epidermal erythema resulting from extravasation during PET imaging is low, as the simulated absorbed doses to the epidermis remain below the thresholds that trigger such effects” Tiwari et al (2024).
CVC lock with 4% tetrasodium EDTA
“CVC locking with 4% tetrasodium EDTA was associated with sustained reductions in CRBSI and CVC replacement procedure incidence. Incorporation of 4% tetrasodium EDTA locking into standardized CVC care bundles may prolong vascular access survival” Robinson et al (2024).
Experience of 500 implantable port placements
“The cephalic vein cutdown approach for CICVAD placement appears to be a safe and better alternative to the percutaneous subclavian vein approach in cancer patients. Cephalic vein cut down approach is LESS with More benefits” Kumar et al (2024).
Transfusion practice improvement program – Full Text
“Transfusion practice improvement programs to decrease RBC transfusions include the use of single-unit transfusions and lower institutional pretransfusion Hgb thresholds” Lindholm et al (2024).
Analysis of wrong blood in tube phlebotomy events
“We found that WBITs occurred at a rate comparable to that reported from developed countries. Use of software and automation may reduce the rate of WBIT but not eliminate it completely. Strict adherence to SOPs and continuous training of phlebotomy staff would help reduce it to a minimum” Krishna et al (2024).
Distraction during pediatric peripheral IV cannulation
“Video-assisted Distraction Therapy was very efficient at distracting children from their pain during intravenous cannulation” Bhandari et al (2024).