Background, Rationale and Suggested Implementation Strategies
- Numerous studies suggest audit and feedback of data related to utilization and outcomes of central lines (including PICCs) to frontline clinicians improves outcomes
- A multi-disciplinary team consisting of key stakeholders that includes (but is not limited to), organizational leadership (e.g., CMO, CQO, CNO), vascular access team members, interventional radiology, critical care physicians, hematology/oncology physicians, emergency room physicians and hospitalists is suggested for maximal impact
- The multidisciplinary team should meet quarterly, identify opportunities for improvement (e.g., PICC use <5 days) by reviewing HMS data and outline strategies, resource requirements and next steps for implementing change.
- The team should follow the impact of their interventions using both local and HMS data to fully understand barriers, facilitators and outcomes affected as a result of the changes made or workflow improvements performed.
- Designate an internal facilitator for all PICC-related QI efforts. The internal facilitator may be a member of the Vascular Access Committee but focuses their work on implementing changes recommended from the committee. The internal facilitator will work with the coordinating center to identify barriers and facilitators in implementing PICC QI efforts
- Designate a physician champion to assist with PICC initiatives. The physician champion should work closely with the vascular access team and HMS PICC abstractor to facilitate changes and support initiatives throughout the project.
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