Impact of Vascular Access on Patient Safety and Quality: 18th Annual AVA Conference Summary

2004 ◽  
Vol 9 (4) ◽  
pp. 187-193
Keyword(s):  
Patient Safety ◽  
Vascular Access ◽  
Conference Summary

Prevention of posterior wall puncture with a self-made needle block

2021 ◽  
pp. 112972982110037
Author(s):  
Tessa Nelson ◽  
Maria Crespo ◽  
Adam Engberg ◽  
Diane Gramer ◽  
Jon W Schrock ◽  
...  
Keyword(s):  
Patient Safety ◽  
Vascular Access ◽  
Improve Patient Safety ◽  
Posterior Wall ◽  
Central Line ◽  
Success Rates ◽  
Invasive Procedures ◽  
Ultrasound Guided ◽  
Improve Patient ◽  
Venous Wall

Vascular access is one of the most commonly performed invasive procedures in medicine. Ultrasound-guided vascular access has been shown to improve patient safety, decrease associated complications and increase first attempt success rates, however, the risk for a posterior venous wall puncture (PVWP) still exists. To reduce this complication, needle guides have been used, though, current methods have limited accessibility and generalizability. Thus, the aim of this article is to describe how a self-made needle block constructed with materials present in a central line kit can reduce the incidence of PVWP and its associated complications in novice POCUS users.

Patient Safety Culture and Nurse-Reported Adverse Events in Outpatient Hemodialysis Units

2015 ◽  
Vol 29 (1) ◽  
pp. 53-65 ◽  
Author(s):  
Charlotte Thomas-Hawkins ◽  
Linda Flynn
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Patient Outcomes ◽  
Vascular Access ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
The United States ◽  
Patient Complaints ◽  
Dialysis Facility ◽  
Dialysis Facilities

Aims: Patient safety culture is an important quality indicator in health care facilities and has been associated with key patient outcomes in hospitals. The purpose of this analysis was to examine relationships between patient safety culture and nurse-reported adverse patient events in outpatient hemodialysis facilities. Methods: A cross-sectional correlational, mailed survey design was used. The analytic sample consisted of 422 registered nurses who worked in outpatient dialysis facilities in the United States. The Handoff and Transitions and the Overall Patient Safety Grade scales of the Agency for Healthcare Research and Quality’s (AHRQ) Hospital Patient on Safety Survey were modified and used to measure patient safety culture in outpatient dialysis facilities. Nurse-reported adverse patient events was measured as a series of questions designed to capture the frequency with which nurses report that 13 adverse events occur in the outpatient dialysis facility setting. Results: Handoff and transitions safety during patient shift change in dialysis centers was perceived negatively by a majority of nurses. On the other hand, a majority of nurses rated the overall patient safety culture in their dialysis facility as good to excellent. All relationships between patient safety culture items and adverse patient events were in the expected direction. Negative ratings of handoffs and transitions safety were independently associated with increased odds of frequent occurrences of vascular access thrombosis and patient complaints. Negative ratings of overall patient safety culture in dialysis units were independently associated with increased odds of frequent occurrences of medication errors by nurses, patient hospitalization, vascular access infection, and patient complaints. Conclusion: Findings from this analysis indicate that a positive patient safety culture is an important antecedent for optimal patient outcomes in ambulatory care settings.

scholarly journals I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting

2021 ◽  
Vol 15 (3) ◽  
pp. 7-14
Author(s):  
Gillian Ray-Barruel
Keyword(s):  
Patient Safety ◽  
Vascular Access ◽  
Medical Devices ◽  
Hospital Setting ◽  
Hospitalized Patients ◽  
Evidence Based ◽  
Urinary Catheters ◽  
Decision Tool ◽  
Safety Priority

Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.

Sign in / Sign up

Export Citation Format

Share Document