Journal article

Fragmentation of Care Threatens Patient Safety in Peripheral Vascular Catheter Management in Acute Care- A Qualitative Study

Enrique Castro-Sanchez, Esmita Charani, Lydia N Drumright, Nick Sevdalis, Nisha Shah, Alison H Holmes



BACKGROUND: The use of peripheral vascular catheters (PVCs) is an extremely common and necessary clinical intervention, but inappropriate PVC care poses a major patient safety risk in terms of infection. Quality improvement initiatives have been proposed to reduce the likelihood of adverse events, but a lack of understanding about factors that influence behaviours of healthcare professionals limits the efficacy of such interventions. We undertook qualitative interviews with clinical staff from a large group of hospitals in order to understand influences on PVC care behaviors and subsequent patient safety. METHODS: Ten doctors, ten clinical pharmacists, 18 nurses and one midwife at a National..

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University of Melbourne Researchers


Awarded by United Kingdom Clinical Research Council

Awarded by NIHR Career Development Award

Awarded by Medical Research Council

Funding Acknowledgements

This work is supported by the National Institute for Health Research (NIHR) Biomedical Research Centre Funding Scheme at Imperial College (funding number not applicable) and the National Centre for Infection Prevention and Management funded by the United Kingdom Clinical Research Council (UKCRC G0800777). AH and NS are affiliated with the Imperial Centre for Patient Safety and Service Quality funded by the UK NIHR. LD is supported by an NIHR Career Development Award (NIHR CDF-2011-04-017). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.