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"In this quality improvement project, we aimed to enhance compliance with peripheral IV hub disinfection at anesthesia induction to follow the American Society of Anesthesiologists (ASA) safe medication injection guidelines" Mohan et al (2024).
Scrubbing devices for needlefree connectors

Abstract:

Introduction: Peripheral intravenous (IV) administration sets are a source of infection that increases morbidity, mortality, and healthcare costs. In this quality improvement project, we aimed to enhance compliance with peripheral IV hub disinfection at anesthesia induction to follow the American Society of Anesthesiologists (ASA) safe medication injection guidelines.

Methods: This study was conducted in the main operating suite of the University of Miami’s principal hospital between June and October 2023. Audits of scrubbing device utilization by the anesthesiology team and focus groups were conducted before and after two educational interventions. Educational efforts focused on increasing compliance with peripheral IV disinfection using scrubbing devices.

Results: Mean use per case, inferred from the number of devices dispensed, nearly doubled from 0.44 (95% CI, 0.37 to 0.59) to 0.82 (95% CI, 0.77 to 0.88) (P < 0.0001). Implications regarding steps to further enhance compliance are discussed.

Conclusions: Through a simple educational program, scrubbing device utilization increased significantly from baseline.

Reference:

Mohan V, Maga JM, Landino-Delgado MC, Rouse LM, Epstein RH, O’Brien EL, Stein AL, Horn DB. Increasing Utilization of Scrubbing Devices for Peripheral Intravenous Disinfectable Needleless Closed Connectors. Cureus. 2024 Jun 4;16(6):e61662. doi: 10.7759/cureus.61662. PMID: 38966438; PMCID: PMC11223665.

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