作者
Hamid Shokoohi, Michael A Loesche, Nicole M Duggan, Andrew S Liteplo, Calvin Huang, Ahad A Al Saud, Dustin McEvoy, Shan W Liu, Sayon Dutta
发表日期
2020/12
期刊
Journal of the American College of Emergency Physicians Open
卷号
1
期号
6
页码范围
1660-1668
简介
Objectives
Difficult intravenous access (DIVA) is common in the emergency department (ED). We investigated the extent to which DIVA is associated with care delay outcomes including time to first laboratory draw, therapies, imaging, and ED disposition.
Methods
An observational retrospective cohort analysis of patients with DIVA treated between 2018 and 2020 at 2 urban academic EDs was performed. DIVA was defined as patients requiring ultrasound‐guided intravenous access placed by physicians or advanced practice providers (APPs) as opposed to landmark‐based intravenous placement by nurses. ED throughput variables and disposition time were compared. We correlated DIVA with time to administration of intravenous pain medications, fluids, imaging contrast, laboratory results, and ED disposition.
Results
A total of 108,256 subjects with 161,122 total encounters were included. DIVA occurred in …
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H Shokoohi, MA Loesche, NM Duggan, AS Liteplo… - Journal of the American College of Emergency …, 2020