Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis

被引：4

作者：

Ricou Rios, Laura ^{[1
,2
,3
]}

Esposito Catala, Candela ^{[2
]}

Pons Calsapeu, Arnau ^{[1
,2
]}

Adroher Mas, Cristina ^{[2
]}

Andres Martinez, Isabel ^{[4
]}

Nuno Ruiz, Isaac ^{[4
]}

Castella Creus, Monica ^{[4
,5
,6
]}

Castella Fabregas, Laia ^{[4
,6
]}

Garcia Quesada, Maria Jose ^{[4
,6
]}

Estrada Cuxart, Oriol ^{[1
]}

Ara del Rey, Jordi ^{[7
]}

Lopez Segui, Francesc ^{[1
,2
,3
]}

机构：

[1] Inst Catala Salut, Direccio Estrategia Assistencial, Gerencia Terr Metropolitana Nord, Barcelona, Spain

[2] Univ Pompeu Fabra, CRES Ctr Recerca Econ Salut, Barcelona, Spain

[3] Inst Germans Trias & Pujol, Res Grp Innovat Hlth Econ & Digital Transformat, Barcelona, Spain

[4] Hosp Badalona Germans Trias & Pujol, Inst Catala Salut, Barcelona, Spain

[5] Hosp Badalona Germans Trias & Pujol, Inst Catala Salut, Direccio Infermera, Area Qualitat,Gerencia Metropolitana Nord, Barcelona, Spain

[6] Germans Trias & Pujol Res Inst, NURECARE IGTP Nursing Res Grp, Badalona, Spain

[7] Inst Catala Salut, Gerencia Terr Metropolitana Nord, Barcelona, Spain

来源：

COST EFFECTIVENESS AND RESOURCE ALLOCATION | 2023年 / 21卷 / 01期

关键词：

Catheters; Cost benefit analysis; Economic evaluation; Healthcare-associated infections; Nursing care; Peripherally inserted Central Catheter; Peripheral venous catheters; Ultrasound; US HOSPITALS; INFECTIONS; CATHETERS;

D O I：

10.1186/s12962-023-00464-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs. Methods Cost-benefit analysis from the perspective of the healthcare provider based on administrative data. The study estimates the reduction in resources used when changing the current practice for the use of ultrasound-guided midline and PICC catheters, as well as the additional resources required for their use. Results The use of an ultrasound-guided device on peripherally inserted central carheter, results in a measurable resource reduction of approximately epsilon 31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is epsilon 63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of epsilon 16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of epsilon 96. Conclusion The benefits of using ultrasound-guided midline and PICC catheters compared to current practice by introducing a vascular access specialist team trained in the implantation of ultrasound-guided catheters, outweigh its cost mainly because of the decrease in hospital stay due to the lowered risk of phebitis. These results motivate the implementation of the service, adding to previous experience suggesting that it is also preferable from the point of view of patient safety and satisfaction.

引用

页数：8