New Guide Aims To Decrease Dangers From Long-term IV Devices

But these same devices carry dangers as well as benefits – especially those designed to stay in the body for days or weeks, called PICCs, slots and central lines. They tunnel into the bloodstream deep, providing a gateway for microbes and an accepted place for dangerous clots to create. Yet despite their widespread and growing use rapidly, no clear guide has existed for which kind of device to use, where patient, for the best and safest result-and which to avoid no matter what.

In the new problem of Annals of Internal Medicine, a team led by University of Michigan Medical School and VA Ann Arbor Healthcare System experts presents the first extensive guide to using intravenous, or vascular gain access to, devices of most kinds. They call it MAGIC, or Michigan Appropriateness Guide for Intravenous Catheters. Predicated on an exhaustive review of proof, and the knowledge of top international experts in an array of fields, it gives clinicians an easy-to-use construction to pick the right device for every adult patient. He and many of his co-authors are members of the Patient Safety Enhancement Program, a joint U-M/VA work, and of the U-M Institute for Healthcare Technology and Policy.

The MAGIC requirements are based on experts’ overview of more than 600 scenarios of different types of patient and treatments, and offer color-coded charts or algorithms to point which devices work or incorrect in each case. MAGIC has already been getting its first test in 47 Michigan hospitals taking part in an individual safety project, the Michigan Hospital Medicine Safety Consortium.

Data from that same consortium lately revealed huge deviation between clinics in the utilization of IV devices for the same conditions. And evidence from this collaborative effort implies that patients with PICCs frequently face a risk of dangerous blood clots called deep vein thrombosis, or DVT. The U-M/VA team shall also test ways to deploy MAGIC over the Veterans Affairs health system, dealing with the VA National Center for Patient Safety and the No Preventable Harms Campaign.

The Infusion Nursing Society is also changing its standards to incorporate changes based on MAGIC’s recommendations. Even as they assess MAGIC’s ability to lessen variance, improve appropriate use of different device types, and reduce problems, the united team behind the new guide hopes other clinicians will start using it. Chopra, an assistant professor of general internal medicine and a hospitalist, and a research scientist at PSEP.

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The panel of 15 experts included doctors and nurses from an array of fields where PICCs and other such devices are commonly used, from vascular nursing, radiology, and anesthesiology, to critical treatment, hospital medicine, infectious disease, and oncology. Also participating: an individual who had suffered complications from various IV devices, and still lives with the consequences.

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