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

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• dc.contributor.author Ricou Ríos, Laura
• dc.contributor.author Esposito Català, Candela
• dc.contributor.author Pons Calsapeu, Arnau
• dc.contributor.author Adroher i Mas, Cristina
• dc.contributor.author Andrés Martínez, Isabel
• dc.contributor.author Nuño Ruiz, Isaac
• dc.contributor.author Castellà Creus, Mònica
• dc.contributor.author Castellà Fàbregas, Laia
• dc.contributor.author García Quesada, Maria José
• dc.contributor.author Estrada Cuxart, Oriol
• dc.contributor.author Ara del Rey, Jordi
• dc.contributor.author López Seguí, Francesc, 1991-
• dc.date.accessioned 2023-11-27T11:28:12Z
• dc.date.available 2023-11-27T11:28:12Z
• dc.date.issued 2023
• dc.description.abstract 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 €31. When 3 peripheral venous catheters are replaced by an ultrasound-guided peripherally inserted central catheter, the saving is €63. Similarly, the use of an ultrasound-guided device on a midline catheter, results in a reduction of €16, while each ultrasound-guided midline catheter replacing 3 peripheral venous catheters results in a reduction of €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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Ricou L, Esposito C, Pons A, Adroher C, Andrés I, Nuño I, et al. Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis. Cost Eff Resour Alloc. 2023 Sep 16;21(1):67. DOI: 10.1186/s12962-023-00464-6
• dc.identifier.doi http://dx.doi.org/10.1186/s12962-023-00464-6
• dc.identifier.issn 1478-7547
• dc.identifier.uri http://hdl.handle.net/10230/58377
• dc.language.iso eng
• dc.publisher Springer
• dc.relation.ispartof Cost Effectiveness and Resource Allocation. 2023 Sep 16;21(1):67
• dc.rights This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unle
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Catheters
• dc.subject.keyword Cost benefit analysis
• dc.subject.keyword Economic evaluation
• dc.subject.keyword Healthcare-associated infections
• dc.subject.keyword Nursing care
• dc.subject.keyword Peripherally inserted Central Catheter
• dc.subject.keyword Peripheral venous catheters
• dc.subject.keyword Ultrasound
• dc.title Implementation of a vascular access specialist team in a tertiary hospital: a cost-benefit analysis
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion