A real time auditing and feedback program of peripheral intravenous cannulas with a focus on improving rates of redundancy

Abstract

Abstract Objectives Redundant (unused) peripheral intravenous cannulas (PIVCs) can lead to patient discomfort and potential harm. The aim of this study was to improve the post insertion management of PIVCs with a focus on redundancy. Methods A regular auditing and feedback program was introduced as an intervention to improve the rates of redundant PIVCs. We performed consecutive daily audits without any feedback over a 2 week period immediately prior to the intervention and 6 months post-commencement. Pooled rates of redundant devices during those periods were compared to assess the intervention impact. A multivariate logistic regression model was created to identify variables associated with redundant devices over the 15-month intervention period. Results The pooled rate of redundant devices in the pre-intervention period was significantly higher than in the 6-month period following commencement of the intervention (41.4% versus 31.7%; p = 0.02). From the intervention period, 994 PIVCs were used to create a logistic regression model. The use of a device care plan (OR 0.60 95% CI 0.37–0.88, p = 0.02), insertion in a medical ward (OR 0.45 95% CI 0.32–0.65, p Conclusion Removal of redundant PIVCs is an important aspect of post insertion management of PIVCs. Rates of redundant devices can be reduced through a real-time auditing and feedback program.