WireSafe^TM - A pilot study of a novel safety engineered device designed to prevent guidewire retention and reduce sharps injuries during central venous catheter insertion.

IF 2.1 Q3 CRITICAL CARE MEDICINE

Journal of the Intensive Care Society Pub Date : 2023-05-01 DOI:10.1177/17511437211069318

Vikesh Patel, Faiz M Chemban, Sohel Samad, Thomas Swan, James Gooch, Jonathan Dean, Darcy Pearson, Robin Heij, Peter J Young, Maryanne Za Mariyaselvam

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引用次数: 0

Abstract

Background Guidewire retention and sharps injury during central venous catheter insertion are errors that cause patient and healthcare professional harm. The WireSafeTM is a novel procedure safety pack engineered to prevent guidewire retention and sharps injury during central venous catheter insertion. This is a pilot study aimed to determine its acceptability, usability and safety during clinical practice. Methods An observational time and motion study was conducted comparing central venous catheter insertion and sharps disposal practice using standard versus WireSafeTM techniques. One-year following implementation, a structured survey was conducted to determine clinician opinion and experiences of using the WireSafeTM. Results 15 procedures were observed using standard practice and 16 using the WireSafeTM technique. The WireSafeTM technique decreased the time taken from removal of the guidewire to disposal of sharps (standard 11.4 ± 5.6 min vs WireSafeTM 8.7 ± 1.4 min, p = 0.035), as well as total procedure time (standard 16 ± 7 min vs WireSafeTM 14.2 ± 2 min, p = 0.17), although this latter trend did not reach significance. Clinicians frequently practiced unsafe behaviour during sharps disposal in the standard group (53%), but when using the WireSafeTM technique, 100% exhibited safe practice by transferring sharps to the bin inside the sealed WireSafeTM box. One-year following implementation, 20 clinicians participated in the structured survey. Clinicians across three different departments used the WireSafeTM in varying clinical situations and reported that its use for central line insertion was either easier (10/20) or no different (10/20) compared to standard practice. All clinicians (20/20) felt that the WireSafeTM reduced the risk of guidewire retention and all stated that they approved of the WireSafeTM technique, and supported its use for convenience and safety benefits. Conclusion Utilising the WireSafeTM for central line insertion facilitated earlier and safer sharps disposal, and the device was well supported by clinicians for its convenience and safety benefits.

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WireSafeTM——一种新型安全工程装置的初步研究，旨在防止导丝滞留，减少中心静脉导管插入过程中的尖锐损伤。

背景:在中心静脉置管过程中，导丝滞留和利器损伤是导致患者和医疗保健专业人员伤害的错误。WireSafeTM是一种新型的手术安全包，用于防止在中心静脉导管插入过程中导丝潴留和利器损伤。这是一项初步研究，旨在确定其在临床实践中的可接受性、可用性和安全性。方法:通过观察时间和运动研究，比较使用标准和WireSafeTM技术的中心静脉导管插入和利器处理实践。实施一年后，进行了一项结构化调查，以确定临床医生对使用WireSafeTM的意见和经验。结果:15例采用标准操作，16例采用WireSafeTM技术。WireSafeTM技术减少了从取出导丝到处理利器所需的时间(标准11.4±5.6分钟vs WireSafeTM 8.7±1.4分钟，p = 0.035)，以及总手术时间(标准16±7分钟vs WireSafeTM 14.2±2分钟，p = 0.17)，尽管后者的趋势没有达到显著性。在标准组中，临床医生在处理利器时经常采取不安全的行为(53%)，但在使用WireSafeTM技术时，100%的临床医生通过将利器转移到密封的WireSafeTM盒内的箱子中表现出安全的行为。实施一年后，20名临床医生参与了结构化调查。三个不同科室的临床医生在不同的临床情况下使用了WireSafeTM，并报告说，与标准实践相比，使用WireSafeTM插入中心静脉导管要么更容易(10/20)，要么没有区别(10/20)。所有临床医生(20/20)都认为WireSafeTM降低了导丝滞留的风险，所有临床医生都表示他们认可WireSafeTM技术，并支持其使用的便利性和安全性。结论:使用WireSafeTM进行中心静脉置管可以更早、更安全地处理尖锐物，该器械具有方便和安全的优点，得到了临床医生的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Intensive Care Society Nursing-Critical Care Nursing

CiteScore

4.40

自引率

0.00%

发文量

期刊介绍： The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.

WireSafeTM - A pilot study of a novel safety engineered device designed to prevent guidewire retention and reduce sharps injuries during central venous catheter insertion.

Abstract

WireSafe^TM - A pilot study of a novel safety engineered device designed to prevent guidewire retention and reduce sharps injuries during central venous catheter insertion.