Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

Alexandrou, Evan; Ray‐Barruel, Gillian; Carr, Peter J.; Frost, Steven A.; Inwood, Sheila; Higgins, Niall; Lin, Frances; Alberto, Laura; Mermel, Leonard; Rickard, Claire M.; the OMG Study Group

doi:10.12788/jhm.3039

Cited by 430Central Venous Catheters and HemodialysisIntravenous Infusion Technology and SafetyVascular Procedures and Complications

Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

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Alexandrou, Evan, Ray‐Barruel, Gillian, Carr, Peter J., Frost, Steven A., Inwood, Sheila, Higgins, Niall, Lin, Frances, Alberto, Laura +3 more·2018·Journal of Hospital Medicine

DOI 10.12788/jhm.3039

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Abstract

BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross‐sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication ( n = 28,571, 70%) and predominantly inserted in general wards ( n = 22,167, 55%). Two‐thirds of all devices were placed in non‐recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs ( n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% ( n = 5,796). Overall, 10% ( n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% ( n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal ( n = 8,507). Over one‐third of PIVCs ( n = 14,787, 36%) had no documented daily site assessment and half ( n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.

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Cannulation practices can be influenced by differences in users' health conditions, local protocols and routines, staff habits and preferences, intended use for the cannula, and other factors.
“The potential influences of the environment in which health care is provided cannot be analyzed with these studies, but it appears to be clear that cannulation practices can be influenced by differences in users' health conditions, local protocols and routines, staff habits and preferences, intended use for the cannula, and other.44”
From Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis (2020) · cites this paper as [44]
The Discussion (page unavailable) links catheter-size choices to clinical needs, such as resuscitation or difficult venous access, and suggests that some choices may reflect hospital policies. It also reports regional differences in insertion practices. The paper does not establish staff habits or preferences as influences, so it supports only part of the attributed list. (LLM, conf=0.84)
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van Rens, M. F. P. T., Bayoumi, M. A. A., van den Hoogen, A., Francia, A. L. V., Cabanillas, I. J. E., van Loon, F. H. J., & Spencer, T. R. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.980725 · Cited by 49 · see citing works
From insertion to removal: a multicenter survival analysis of an admitted cohort with peripheral intravenous catheters inserted in the emergency department
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Peripheral intravenous catheter insertion and use of ultrasound in patients with difficult intravenous access: Australian patient and practitioner perspectives to inform future implementation strategies
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Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients
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UK Vessel Health and Preservation (VHP) Framework: a commentary on the updated VHP 2020
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Monitoring quality of care for peripheral intravenous catheters; feasibility and reliability of the peripheral intravenous catheters mini questionnaire (PIVC-miniQ)
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The RESPECT trial–Replacement of peripheral intravenous catheters according to clinical reasons or every 96 hours: A randomized, controlled, non-inferiority trial
Vendramim, P., Avelar, A. F. M., Rickard, C. M., & Pedreira, M. D. L. G. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103504 · Cited by 39 · see citing works
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How common are indwelling devices in hospitalized adults? A contemporary point prevalence study in a tertiary care hospital
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Implementing an emergency department vascular access team: A quality review of training, competency, and outcomes
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Derivation of a clinical decision-making aid to improve the insertion of clinically indicated peripheral intravenous catheters and promote vessel health preservation. An observational study
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Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 246 intensive units of 83 hospitals in 52 cities of 14 countries of Middle East: Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates—International Nosocomial Infection Control Consortium (INICC) findings
Rosenthal, V., Belkebir, S., Zand, F., Afeef, M., Tanzi, V. L., Al-Abdely, H. M., El‐Kholy, A., AlKhawaja, S. A. A., Demiröz, A. P., Sayed, A. F., et al. (2020) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2020.03.012 · Cited by 35 · see citing works
Risk factors for peripheral intravenous catheter-related phlebitis in adult patients
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The impact of a structured assessment and decision tool (I-DECIDED®) on improving care of peripheral intravenous catheters: A multicenter, interrupted time-series study
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Teaching ultrasound-guided peripheral venous catheter placement through immersive virtual reality
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Evaluating an ultrasound-guided peripheral intravenous cannulation training program for emergency clinicians: An Australian perspective
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What fuels suboptimal care of peripheral intravenous catheter-related infections in hospitals? A qualitative study of decision-making among Spanish nurses
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Smile - Secure my intravenous line effectively: A pilot randomised controlled trial of peripheral intravenous catheter securement in paediatrics
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Drawing blood from peripheral intravenous cannula compared with venepuncture: A systematic review and meta‐analysis
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The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses
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Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines
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Peripheral intravenous cannula insertion and use in a tertiary hospital emergency department: A cross-sectional study
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A comparison of homemade vascular access ultrasound phantom models for peripheral intravenous catheter insertion
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A prospective sonographic evaluation of peripheral intravenous catheter associated thrombophlebitis
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Mechanism of pulsatile flushing technique for saline injection via a peripheral intravenous catheter
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Peripheral intravenous catheter securement: An integrative review of contemporary literature around medical adhesive tapes and supplementary securement products
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The burden of peripheral intravenous catheters in older hospital inpatients: A national cross‐sectional study part of the ONE MILLION GLOBAL PERIPHERAL INTRAVENOUS CATHETERS COLLABORATION
Chróinín, D. N., Ray‐Barruel, G., Carr, P. J., Frost, S. A., Rickard, C. M., Mifflin, N., McManus, C., & Alexandrou, E. (2022) · Australian Journal on Ageing · doi:10.1111/ajag.13068 · Cited by 24 · see citing works
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The Prevalence and Associated Factors of Peripheral Intravenous Complications in a Thai Hospital
Kaphan, K., Auypornsakul, S., Somno, J., Wongwattananan, W., Jamsittikul, K., Baicha, W., Somsri, S., & Sawatrak, T. (2024) · Journal of Infusion Nursing · doi:10.1097/nan.0000000000000538 · Cited by 23 · see citing works
Translation and Validation of the Modified A-DIVA Scale to European Portuguese: Difficult Intravenous Access Scale for Adult Patients
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Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: A multicentre cross-sectional study
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Impact of an Innovative Securement Dressing and Tourniquet in Peripheral Intravenous Catheter-Related Complications and Contamination: An Interventional Study
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Práticas dos enfermeiros na cateterização intravenosa: um estudo descritivo
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The Use of Visualization Technology for the Insertion of Peripheral Intravenous Catheters
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Randomized clinical trial analyzing maintenance of peripheral venous catheters in an internal medicine unit: Heparin vs. saline
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Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction
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Vascular access specialist teams versus standard practice for catheter insertion and prevention of failure: a systematic review
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Hiding in Plain Sight: Peripheral Intravenous Catheter Infections
Nickel, B. (2020) · Critical Care Nurse · doi:10.4037/ccn2020439 · Cited by 22 · see citing works
Short peripheral intravenous catheter securement with cyanoacrylate glue compared to conventional dressing: A randomized controlled trial
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Effectiveness of near-infrared light devices for peripheral intravenous cannulation in children and adolescents: A meta-analysis of randomized controlled trials.
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Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 727 intensive care units of 268 hospitals in 141 cities of 42 countries of Africa, the Americas, Eastern Mediterranean, Europe, South East Asia, and Western Pacific Regions: International Nosocomial Infection Control Consortium (INICC) findings
Rosenthal, V., Bat-Erdene, I., Gupta, D., Belkebir, S., Rajhans, P. A., Zand, F., Myatra, S. N., Afeef, M., Tanzi, V. L., Muralidharan, S., et al. (2020) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2020.20 · Cited by 20 · see citing works
Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
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Developing Appropriateness Criteria for Pediatric Vascular Access
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Undergraduate nursing students' perceptions of the current content and pedagogical approaches used in PIVC education. A qualitative, descriptive study
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A comprehensive vascular access service can reduce catheter-associated bloodstream infections and promote the appropriate use of vascular access devices
Martillo, M. A., Zarbiv, S., Gupta, R., Brito, A., Shittu, A., & Kohli-Seth, R. D. (2019) · American Journal of Infection Control · doi:10.1016/j.ajic.2019.08.019 · Cited by 20 · see citing works
Peripheral intravenous cannulation: reducing pain and local complications
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Effectiveness of transparent film dressing for peripheral intravenous catheter
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Evidence of learning on the insertion and care of peripheral venous catheters in nursing students: A mixed study
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Difficult intravenous access in a paediatric intensive care unit
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Peripheral vascular catheter use in Latin America (the vascular study): A multinational cross-sectional study
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Implementation frameworks, strategies and outcomes used in peripheral intravenous catheter studies: A systematic review
Xu, H. G., Keogh, S. J., Ullman, A. J., Marsh, N. M., Tobiano, G., Rickard, C. M., Clark, J. M., & Griffin, B. R. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16671 · Cited by 23 · see citing works
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Splenic infarction in sickle cell trait: A comprehensive systematic review of case studies
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Peripheral intravenous cannulation decision-making in emergency settings: a qualitative descriptive study
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Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: A point prevalence study
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Effectiveness and Safety of Measures to Prevent Infections and Other Complications Associated With Peripheral Intravenous Catheters: A Systematic Review and Meta-analysis
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Punção de veias periféricas em adultos hospitalizados: método misto sequencial aninhado
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Inflammatory, Mechanical and Infectious Complications Associated with Peripheral Intravenous Catheters in Dogs and Cats: A Risk Factor Analysis
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Incidence, time to occurrence and predictors of peripheral intravenous cannula-related complications among neonates and infants in Northwest Ethiopia: an institutional-based prospective study
Baye, N. D., Teshome, A. A., Ayenew, A. A., Jemere, T., Mulu, A. T., Abebe, E. C., Tiruneh, G. A., Ayele, T. M., Muche, Z. T., Teklemariam, A. B., et al. (2023) · BMC Nursing · doi:10.1186/s12912-022-01164-x · Cited by 17 · see citing works
Effectiveness of structured self-evaluation of video recorded performance on peripheral intravenous catheter insertion: a randomised control trial study protocol
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Influence of simulation and clinical settings on peripheral vein cannulation skill learning in nursing education: A qualitative study
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Peripheral intravenous catheter material and design to reduce device failure: A systematic review and meta-analysis
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Prehospital use of peripheral intravenous catheters and intraosseous devices: An integrative literature review of current practices and issues
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Understanding consumer preference for vascular access safety and quality measurement: an international survey
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Novel short peripheral catheter design for prevention of thrombophlebitis
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Vascular Access Device Care and Management
Meyer, B. M., Berndt, D., Biscossi, M., Eld, M., Gillette-Kent, G., Malone, A., & Wuerz, L. (2020) · Journal of Infusion Nursing · doi:10.1097/nan.0000000000000385 · Cited by 16 · see citing works
Effectiveness of ultrasonography for peripheral catheter insertion and catheter failure prevention in visible and palpable veins
Abe‐Doi, M., Murayama, R., Komiyama, C., Tateishi, R., & Sanada, H. (2021) · The Journal of Vascular Access · doi:10.1177/11297298211022078 · Cited by 17 · see citing works
Observational study of peripheral intravenous catheter outcomes in an internal medicine department
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Nurses’ education, knowledge and perceptions of peripheral intravenous catheter management: A web-based, cross-sectional survey
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Short Peripheral Catheter Performance Following Adoption of Clinical Indication Removal
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Development of an Evidence-Based List of Non-Antineoplastic Vesicants
Gorski, L. A., Ong, J., Gerpen, R. V., Nickel, B., Kokotis, K., & HADAWAY, L. C. (2024) · Journal of Infusion Nursing · doi:10.1097/nan.0000000000000568 · Cited by 16 · see citing works
An eight-year multicenter study on short-term peripheral intravenous catheter–related bloodstream infection rates in 100 intensive care units of 9 countries in Latin America: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Venezuela. Findings of the International Nosocomial Infection Control Consortium (INICC)
Rosenthal, V., Chaparro, G. J., de Medeiros, E. A. S., Fram, D. S., Escudero, D. V. D. S., Gualtero-Trujillo, S. M., Morfín‐Otero, R., González-Díaz, E., Rodríguez-Noriega, E., Altuzar-Figueroa, M. A., et al. (2021) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2020.1373 · Cited by 15 · see citing works
Wide Variation in Post-Void Residual Management after Urogynecologic Surgery: A Survey of Urogynecologists’ Practices
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Peripheral Intravenous Administration of High-Risk Infusions in Critical Care: A Risk-Benefit Analysis
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The economic burden of difficult intravenous access in the emergency department from a United States’ provider perspective
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Peripheral intravenous catheters in hospitalized patients: Practice, Dwell times, and factors impacting the dwell times: A single center retrospective study
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Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
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Effect of rapid cycle deliberate practice in peripheral intravenous catheters insertion training: A simulation experimental study
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International prevalence of the use of peripheral intravenous catheters
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Self-citation
Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines
Blanco‐Mavillard, I., Parra-García, G., Fernández‐Fernández, I., Rodríguez-Calero, M. Á., Personat-Labrador, C., & Castro‐Sánchez, E. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240086 · Cited by 26 · see citing works
Evaluating peripheral intravascular catheter insertion, maintenance and removal practices in small hospitals using a standardized audit tool
Hoskins, A., Worth, L. J., Malloy, M. J., Smith, M., Atkins, S., & Bennett, N. J. (2022) · Nursing Open · doi:10.1002/nop2.1176 · Cited by 10 · see citing works
Peripheral intravenous catheters: the impact of compliance with standards on patient-reported experience measures
Brijball, B., Hadzic, R., Shvartsbart, A., Findlay, B. R., Harland, M., Solom, T. D., Emadi, F., Penm, J. H.-D., & Stevens, J. (2025) · Anaesthesia and Intensive Care · doi:10.1177/0310057x251387731
Global Pediatric Peripheral Intravenous Catheter Practice and Performance: A Secondary Analysis of 4206 Catheters
Ullman, A. J., Takashima, M., Kleidon, T. M., Ray‐Barruel, G., Alexandrou, E., & Rickard, C. M. (2019) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2019.09.023 · Cited by 102 · see citing works
Self-citation

Authors: Alexandrou, E., Ray‐Barruel, G., Carr, P. J., Frost, S. A., Inwood, S., Higgins, N., Lin, F., Alberto, L., Mermel, L., Rickard, C. M., & the OMG Study Group
Affiliations: Griffith University (AU)
Liverpool Hospital (AU)
Corresponding author: Alexandrou, Evan
ORCID: Alexandrou, Evan
Ray‐Barruel, Gillian
Carr, Peter J.
Frost, Steven A.
Higgins, Niall
Lin, Frances
Alberto, Laura
Mermel, Leonard
Rickard, Claire M.
Venue: Journal of Hospital Medicine
Publisher: Wiley
Published: 2018-05
Volume: 13
Issue: 5
ISSN: 1553-5592 (ISSN-L)
1553-5606
DOI: 10.12788/jhm.3039
OpenAlex: W2806490016
Cited by: 430
References: 42
Citations by year: 2026: 30 · 2025: 54 · 2024: 67 · 2023: 59 · 2022: 68 · 2021: 61 · 2020: 60 · 2019: 24 · 2018: 6
FWCI: 57.70
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1927 d)
Locations: Journal of Hospital Medicine (publishedVersion)
PubMed (publishedVersion)
QUT ePrints (Queensland University of Technology) (submittedVersion)
Griffith Research Online (submittedVersion)
Funders: Cook Medical
Griffith University
Western Sydney University
Topics: Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
Keywords: peripheral intravenous catheters, catheter insertion site, catheter malfunction, phlebitis, catheter dressing, regional variation in practice, hospitalized patients
MeSH terms: Catheterization, Peripheral, Catheters, Indwelling, Cross-Sectional Studies, Documentation, Female, Hospitals, Humans, Male, Middle Aged, Internationality, Administration, Intravenous

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Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

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