Dataset Information

Multicenter Study of Needle-Free Blood Collection System for Reducing Specimen Error and Intravenous Catheter Replacement.

ABSTRACT:

Abstract

Inpatient hospital settings require access to high-quality blood specimens and durable peripheral intravenous (IV) catheters for patient care. The most common standard-of-care method for acquiring each blood specimen-venipuncture-often results in a non-negligible preanalytical error rate, patient discomfort, and tissue inflammation. In a 2-year, multicenter (23 hospitals) retrospective study, a novel blood collection system that collects blood specimens through existing inpatient IVs without a needle (PIVO, Velano Vascular) was compared with the current standard of care, in regards to its effect on specimen quality and IV catheter longevity. Using the PIVOTM device for blood collection decreased the rate of preanalytical errors by 56% compared with other collection methods, including venipuncture and conventional line draws. In addition, peripheral IV catheters that were used with PIVOTM for blood draws also had a 19% lower rate of replacement compared with those that did not. This is the largest study to date of PIVO use and demonstrates significant quality improvement outcomes compared with the current standard of care in blood collection, providing an opportunity to innovate inpatient hospital care.

SUBMITTER: Pendleton B

PROVIDER: S-EPMC8887850 | biostudies-literature | 2022 Mar-Apr 01

REPOSITORIES: biostudies-literature

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Multicenter Study of Needle-Free Blood Collection System for Reducing Specimen Error and Intravenous Catheter Replacement.

Pendleton Brian B LaFaye Ryan R

Journal for healthcare quality : official publication of the National Association for Healthcare Quality 20220301 2

<h4>Abstract</h4>Inpatient hospital settings require access to high-quality blood specimens and durable peripheral intravenous (IV) catheters for patient care. The most common standard-of-care method for acquiring each blood specimen-venipuncture-often results in a non-negligible preanalytical error rate, patient discomfort, and tissue inflammation. In a 2-year, multicenter (23 hospitals) retrospective study, a novel blood collection system that collects blood specimens through existing inpatien ...[more]

PMID: 34629378

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Project description:BackgroundGastrointestinal subepithelial lesions (SELs) range from benign to malignant. Endoscopic ultrasound (EUS)-guided fine-needle biopsy (EUS-FNB) is used widely for pathological diagnosis of SELs. Early diagnosis and treatment are important because all Gastrointestinal stromal tumors (GISTs) have some degree of malignant potential. Diagnosing SELs with EUS-FNB is more difficult than diagnosing other tumors because an accurate diagnosis of GIST requires a sufficient tissue sample for immunostaining, which is part of the diagnostic protocol. Moreover, EUS-FNB is less accurate for diagnosis based on samples from SELs measuring ≤ 2 cm. However, our retrospective study showed that more than 50% of patients with SELs ≤ 2 cm were diagnosed as GIST. Therefore, EUS-FNB needles are required with adequate sampling in SELs measuring ≤ 2 cm. Previously, we conducted a retrospective single-center study of SELs measuring ≤ 2 cm, and reported that EUS-FNB with a Fork-tip needle was superior to that with a Franseen needle in that the former acquires sufficient sample. This multicenter comparative open-label superiority study is designed to verify whether a 22G Fork-tip needle is superior to a 22G Franseen needle with respect to sample acquisition.Methods/designPresent study will randomly assign for 110 patients (55 in the Fork-tip needle group and 55 in the Franseen needle group) with SELs measuring ≤ 2 cm, all of whom are managed at one of the 10 participating endoscopic centers. The primary endpoint evaluates the superiority of a 22G Fork-tip needle over a 22G Franseen needle for collection of an adequate tissue specimen at the first puncture. The secondary endpoints compare successful puncture rate, procedure completion rate, number of adverse events, diagnostic suitability of the first puncture specimen for GIST, and the number of punctures required until adequate specimen collection.DiscussionThe outcomes may provide insight into the optimal needle choice for diagnosis of SELs ≤ 2 cm, thereby aiding development of practice guidelines. Present study is expected to promote early definitive diagnosis of GISTs, thereby increasing the number of cases that can receive curative treatment and improving prognosis.Trial registrationJapan Registry of Clinical Trials (JRCT; trial registration: jRCTs052230144). Registered December 13, 2023. (URL; https://jrct.niph.go.jp/re/reports/detail/76858 ).

Dataset Information

Multicenter Study of Needle-Free Blood Collection System for Reducing Specimen Error and Intravenous Catheter Replacement.

Abstract

Publications

Multicenter Study of Needle-Free Blood Collection System for Reducing Specimen Error and Intravenous Catheter Replacement.

Similar Datasets

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