SHM Converge Scientific Abstract ePoster Gallery-Factors Affecting Peripheral Iv Awareness

Pdf Summary

This multicenter prospective observational study examined factors affecting clinician awareness of peripheral intravenous catheters (PIVs) in hospitalized, non-critically ill patients at four Michigan hospitals. PIVs are widely used but can cause serious complications, and clinician awareness of their presence may influence care. Researchers interviewed 1,682 patients to confirm whether they had a PIV, then asked 4,961 care providers—nurses, attending physicians, residents, and medical students—whether their patient had one. They also recorded whether patients had multiple PIVs, a central line, contact precautions, or a running infusion. Provider groups were compared using chi-square tests.<br /><br />Overall, 66.7% of patients had a PIV. Awareness varied by clinician type, with nurses generally more aware of PIV presence than physicians. Physician residents and attendings showed lower awareness when patients also had a central line than when they did not. Nurses had lower awareness in patients on contact precautions compared with those not on precautions. Nurse awareness was higher when an infusion was running.<br /><br />The study suggests that awareness of peripheral IVs is influenced by the presence of other devices or precautions, especially central lines and contact precautions. Because physicians order and manage IV access while nurses place and maintain it, differences in awareness may reflect workflow and role separation. The findings raise concerns that reduced awareness could affect patient safety and care quality, particularly in settings where multiple vascular devices are present or where contact precautions limit healthcare worker interaction.

Asset Subtitle

Tessa Adzemovic

Meta Tag

Author List Alex Zheutlin, Jennifer K. Horowitz, Sushant Govindan, Tessa Adzemovic, Vineet Chopra

Category Research

Concept Peripheral Intravenous Catheter

Concept Clinician Awareness

Concept Bloodstream Infection

Concept Catheter Complication

Concept Multicenter Study

Distinguished Non-Finalist

Presenter Organization University of Michigan

Presenting Author Tessa Adzemovic

Track Outcomes Research

Keywords

peripheral intravenous catheters

PIV awareness

hospitalized patients

clinician awareness

nurse awareness

physician awareness

central line

contact precautions

patient safety

multicenter observational study

Peripheral Intravenous Catheter

Clinician Awareness

Bloodstream Infection

Catheter Complication

Multicenter Study