Improving difficult peripheral intravenous access requires thought, training and technology (DART³): a stepped-wedge, cluster randomised controlled trial protocol.

ABSTRACT:

Background

Peripheral intravenous catheters (PIVCs) are the most used invasive medical device in healthcare. Yet around half of insertion attempts are unsuccessful leading to delayed medical treatments and patient discomfort of harm. Ultrasound-guided PIVC (USGPIVC) insertion is an evidence-based intervention shown to improve insertion success especially in patients with Difficult IntraVenous Access (BMC Health Serv Res 22:220, 2022), however the implementation in some healthcare settings remains suboptimal. This study aims to co-design interventions that optimise ultrasound guided PIVC insertion in patients with DIVA, implement and evaluate these initiatives and develop scale up activities.

Methods

A stepped-wedge cluster randomized controlled trial will be conducted in thr

SUBMITTER: Schults JA 

PROVIDER: S-EPMC10249237 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature