Study OverviewThis systematic review synthesised paediatric studies to quantify the financial burden of central venous access device (CVAD) complications and to examine how those costs are calculated. Infectious complications dominated both the literature and the spend, while reporting of costing methods was often incomplete—making cross-hospital comparisons difficult.Key FindingsInfectious complications are expensive: pooled mean ≈ USD $77,000 per event, with single-study estimates rangi...

Study OverviewThis meta-synthesis pooled infection outcomes from 18 prospective studies across seven Australian public hospitals, following 14,606 peripheral IV catheters (50,096 device-days) from insertion to removal. Researchers quantified local infection and bloodstream infection (BSI) using NHSN criteria and modelled day-by-day risk (hazard) over catheter dwell time.Key Findings- Very low but non-zero infection ratesLocal infection: 5/14,606 catheters (0.034%; 0.100 per 1,000 device-days)....

Replace this text with your own text.Study OverviewDesign: Qualitative descriptive study using the Behaviour Change Wheel (BCW/COM-B)
Setting: Two metropolitan EDs in Queensland, interviews in 2023
Participants: 25 clinicians (RNs, CNs, SMOs, JMOs)
Aim: Identify barriers and facilitators to adhering to the 2021 PIVC Clinical Care Standard in EDs.What clinicians said (themes mapped to COM-B)Capability (knowledge/skills):Barriers: Low awareness of the Standard, limited structured PIVC educatio...

Study OverviewThis multi-site point prevalence study checked how well Queensland public hospitals follow the Australian Management of Peripheral Intravenous Catheters Clinical Care Standard (2021). Data were collected across 134 acute wards in 21 hospitals (8 health services). Among 2,247 screened patients, 1,117 had a PIVC; 788 consented for detailed assessment. The team mapped 10 Quality Statements (QSs) using the Standard’s 13 structural (policy) and process (bedside practice) indicators...

Study OverviewThis scoping review mapped how evidence-based practices (EBPs) for paediatric central venous access devices (CVADs) have been implemented across hospitals (2012–July 2023). From 1,769 records, 46 studies were included and assessed for frameworks, strategies, and outcomes used to improve CVAD insertion and maintenance and reduce complications.Key FindingsFrameworks used—often loosely: Over half relied on Quality Improvement (QI) (56%) and PDSA (17%), while 28% used no formal ...

The IVCare trial aims to evaluate a range of infection-prevention interventions (e.g., connectors, securement devices, access-cleaning devices, locks) for their ability to prevent CLABSI in hospitals across Australia, with the potential to expand to other countries in the future.We are seeking input from health professionals involved in the care of patients with CVADs for kidney failure or cancer. The purpose is to gather feedback that will help inform the trial design and support its impleme...

Study OverviewThis qualitative study explored the real-world barriers and enablers to selecting alternative peripherally inserted central catheter (PICC) materials and designs in three Australian hospitals. Researchers conducted semi-structured interviews with 23 PICC inserters, users, and purchasers to understand how local contexts and stakeholder perspectives affect implementation of innovations like hydrophobic or antimicrobial PICCs. The study used the Consolidated Framework for Implement...

Study Overview
Peripherally inserted central catheters (PICCs) are widely used for medium-term vascular access, especially in oncology and critical care. While often perceived as safer than traditional central venous catheters (CVCs), this narrative review reveals a different picture—highlighting the high rate of complications associated with PICCs, ranging from bloodstream infections to thrombosis and malpositioning.Key FindingsHigher Complication Rates: Overall PICC-associated complicati...

Study Overview
Central venous catheters (CVCs) are critical in long-term medical care, but they carry a significant risk of central line-associated bloodstream infections (CLABSIs). This study used expert-driven methods to build a causal model—known as a directed acyclic graph (DAG)—to identify key patient and catheter factors contributing to CLABSI. The model is designed to inform future clinical trials and help define more targeted, realistic prevention strategies.Key FindingsDual Risk...

Study Overview
This interrupted time-series study evaluated the effectiveness of the I-DECIDED assessment and decision tool in improving peripheral intravenous catheter (PIVC) care for paediatric patients in a Brazilian public hospital. The tool aims to guide nurses through structured, evidence-based decisions during catheter care.Key FindingsReduced Complications: The implementation led to fewer idle PIVCs, substandard dressings, and complications post-intervention.Increased Engagement: Fam...