I-DECIDED device assessment and decision tool
Up to 70% of acute care hospital patients need a peripheral intravenous catheter (PIVC) for fluids or medicines during admission. However, up to 69% of PIVCs have painful complications or stop working before treatment is finished, requiring the insertion of a new device.1 There are numerous reasons for PIVC failure, some of which may be preventable with appropriate intervention. Improved assessment could help prevention and early detection of complications, but no comprehensive and validated IV assessment tool exists.2
I-DECIDED® is an evidence-based assessment and decision tool for intravascular devices.3 This simple checklist promotes comprehensive IV assessment and management, and prompts timely removal of IV devices. The tool has been tested in English in 3 Australian hospitals.4
I-DECIDED® is a summary of evidence-based guidelines for intravascular device care, we encourage its widespread use. You are authorised to I-DECIDED® in your institution.
Please note: I-DECIDED® is trademarked, therefore the mnemonic I-DECIDED cannot be changed.
To learn more, watch the video.
The tool has been translated into numerous languages. Click on the links below:
For more information, please contact Dr Gillian Ray-Barruel firstname.lastname@example.org
1. Marsh N, Webster J, Larson E, Cooke M, Mihala G, Rickard CM. Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: A multivariable analysis of peripheral intravenous catheter failure. J Hosp Med. 2018;13(2):83-9. doi:10.12788/jhm.2867
2. Ray-Barruel G, Polit DF, Murfield JE, Rickard CM. Infusion phlebitis assessment measures: a systematic review. J Eval Clin Pract. 2014;20(2):191-202. doi:10.1111/jep.12107
3. Ray-Barruel G, Cooke M, Mitchell M, Chopra V, Rickard CM. Implementing the I-DECIDED clinical decision-making tool for peripheral intravenous catheter assessment and safe removal: protocol for an interrupted time-series study. BMJ Open. 2018;8(6):e021290. http://dx.doi.org/10.1136/bmjopen-2017-021290
4. Ray-Barruel, G., Cooke, M., Mitchell, M., Chopra, V., & Rickard, C. Reduction in 'Just in Case' cannula rates with a structured assessment and decision tool: An interrupted time-series study. Infection, Disease & Health. 2018;23:S10. https://doi.org/10.1016/j.idh.2018.09.038