Evaluation of the Implantation of the Good Practices Guideline for Vascular Access in the Euskadi Regional Host of Osakidetza-Basque Health Service: A Descriptive Studio of the Process
Abstract
Introduction. Intravenous treatments are necessary in multiple situations; however, they do have complications. The vascular access guideline provides assessed and synthesized evidence to be transferred to care. The aim of this study is to describe the process of implementation of the vascular access guideline in the organizations of Euskadi Regional Host by monitoring the use of alternative catheters, early removal and the presence of complications. Methodology. Descriptive study of process. The cut-off times are 3 months pre- implementation and 6, 12, 48 months post- implantation. Descriptive and comparative analysis with Chi- square. Results. A total of 7,074 patients and 12,363 devices were evaluated; The short peripheral catheter is the most frequently used. The use of alternativecatheters increased over time, showing a significant difference in the 3 months pre implementation period with the 48-month post implantation period (from 6.81% pre-implementation to 10.58% post 48 months). The percentage of short intravenous catheters removal in less than 48h increased from 53.25% to 57.54% of the pre- implantation of the 48 months post-implantation. Discussion. The results obtained after the implementation of the guideline highlight the impact of the use of alternative catheters and the early removal of them. Further work needs to be done to reduce complications and rates of peripheral venous catheter phlebitis. Conclusions. The implementation of the good practices guidelines for vascular access care improves the results in the use of alternative catheters or the reduction in peripheral venous catheters in days.
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