C.L.O.T. Tool |
Overview
Catheter flush, Lumens, Optimal access and Tip This document identifies factors associated with PICC catheter occlusion as derived from HMS data, in order to help hospital staff prevent such occlusions. The tool was developed using rigorous statistical methods after reviewing over 1,700 cases of occlusion from HMS. |
Less Lumens, Less Risk |
Overview
This document describes ongoing work at the University of Michigan aimed at increasing the use of single-lumen PICCs while decreasing the use of multi-lumen devices. Evidence-based criteria (produced in conjunction with pharmacy, vascular access and medicine) for multi-lumen PICC use are identified. |
GAVECELT Recommendations
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Overview
A series of recommendations from the Italian Group, GAVECELT, related to how to select a vascular access device, insert PICCs and prevent complications. Materials provided courtesy of Dr. Antonio LaGreca, a member of this group. Dr. LaGreca's blog post where he discusses these resources can be read here. |
Vascular Access Dashboard |
Overview
A summary of appropriate and inappropriate vascular access applications follows and is condensed in Table 1 Vascular Access Dashboard. For more detailed information on the results of MAGIC refer to the complete publication (Chopra et al. 2015) |
Be WISE: A Tool To Assess Factors Behind Hospital PICC Use |
Overview
The WISE tool was designed to assess reasons for PICC placement in your hospital. Although primarily aimed at understanding factors driving short-term PICC use (PICCs placed less than 5 days), WISE is a "change package" that can be used to evaluate PICCs in a medical unit, provider service or facility. The guide is written as a "how-to" manual, outlining a method to track, evaluate and design interventions to improve the appropriateness of PICC use in your hospital. |
How much could my hospital save by increasing single lumen PICC use? |
Overview
Download the file and follow the directions to estimate savings. The table will provide complication and maintenance costs based on the volume of PICCs placed in your hospital and the percentage of single lumen vs. multi-lumen devices. Bottom line: The more you use single lumen PICCs, the more the savings from CLABSI, VTE and maintenance-related costs. It is that simple. |
How To Care For Your PICC At Home: Our Patient Handout |
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Nurse PICC Teams and CLABSI Prevention Practices: Characteristics of Hospitals With and Without PICC Teams |
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Patient Handout: What You Should Know Before You Get Your PICC |
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Vascular Access Devices Reviewed to Formulate Appropriateness Ratings |
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Conceptual Framework Used for the Development of Scenarios and Indications of Appropriateness |
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Venous Access Device Recommendations for Infusion of Peripherally Compatible Infusate |
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Venous Access Device Recommendations for Infusion of Non–Peripherally Compatible Infusates |
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Venous Access Device Recommendations for Patients with Difficult Venous Access. |
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Venous Access Device Recommendations for Patients who Require Frequent Phlebotomy |
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Conceptual Model for Preventing Complications Associated with PICC Use |
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Association Between Catheter Lumens and Risk of CLABSI |
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Evidence-Based Algorithm for Diagnosis of PICC-Associated DVT |
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Evidence-Based Algorithm for Management of PICC-Associated DVT |
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Relative Risk of CLABSI with PICCs vs. CVCs |
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Cause & Effect Diagram of Lack of Physician Awareness of CVCs |
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Risk of Venous Thromboembolism Between PICCs and CVCs |
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Kaplan-Meier Survival Curve for Time to DVT |
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Knowledge Gaps and Variation in Practice Among US Hospitalists Regarding PICC-VTE |
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Risk Factors Associated with PICC-DVT |
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Algorithm for Venous Access |
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Materials sourced from our publications. For non-commercial use only. Do not disseminate without permission.