Investing in patient and hospital outcomes using vascular access teams
Most patients admitted to hospital in Australia and New Zealand will require a vascular access device1. While the placement of these devices is very common, this invasive procedure has an associated risk of infection and various other complications that can pose a major risk to patients.
Evidence exists that the common practice of having multiple interdisciplinary hospital staff members with varying skill levels (e.g. bedside nurses, doctors and others at the clinical unit level), who are responsible for single steps in the process of inserting and managing vascular access devices, results in fragmented care, jeoparidising patient safety2-4. Consequently, there is ongoing concern that this ‘generalist model’ for vascular access device insertions leads to both adverse patient and hospital staff outcomes such as multiple unsuccessful insertion attempts, patient pain, discomfort and frustration, as well as the competing clinical responsibilities of individual staff members2-4.
As a result, there is increasing interest in the concept of having a dedicated Vascular Access Team (VAT), that has specialised vascular access device expertise, and the potential for clinical and financial benefits2,5,6. The implementation of VATs can positively impact patient safety and satisfaction, improve organisational efficiencies and cost-effectiveness, and could create new opportunities for in and outpatient services, beneficial to both patients and institutions6.
Hospitals in Australia and New Zealand that have established these dedicated teams report significant improvement in their vascular access services and patient outcomes, as well as enhanced capacity to meet an increasing demand for vascular access services7-9.
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References: 1. Carr PJ, Higgins NS, Cooke ML, et al. Vascular Access Specialist Teams For Device Insertion And Prevention Of Failure. The Cochrane Database of Systematic Reviews 2018, Issue 3. Art. No.: CD011429 2. Moureau NL. Establishing Vascular Access Teams for Patient Safety. Infection Control Today 2020;24(4) https://www. infectioncontroltoday.com/view/establishing-vascular-access-teams- patient-safety 3. Moureau NL. Vessel Health and Preservation: The Right Approach for Vascular Access. 1st ed. 2019. Cham: Springer International Publishing, 2019. https://link springer.com/content/ pdf/10.1007%2F978-3-030-03149-7.pdf 4. Castro-Sánchez E, Charani E, Drumright LN, et al. Fragmentation of Care Threatens Patient Safety
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