| 英文摘要 |
Background and purpose: CVC is important in the critical care for fluid replacement, hemodynamic monitoring, and parenteral nutrition supply. This study reports the central venous catheter-related incidents (CVCRI) from the Taiwan Patient -safety Reporting system (TPR) and investigates its risk factors. Methods: A total of 925 CVCRI(s) reports (2005-2009) from the TPR were retrieved. Incidents characteristics are compared between self-extubation and accidental dislodgement groups using chi-square test. Risk factors are investigated using logistic regression models. Results: CVCRI(s) frequently occurred in elderly male (62.2%), under internal medicine care (47.7%) in intensive care units (83.1%) at night shifts. Around 51.5% of the dislodgements occurred while patients were at rest without accompanied person (50.4%), restrained (51.8%), or sedation (85.1%) and were under clear consciousness level (53.8%). There were 2 (0.2%) deaths and 13 (1.4%) severe injuries. Only 25.9% of CVC dislodgement would need replacement of catheter. Care specialty, time shift, activity type, and consciousness level are important risk factors for CVCRI(s). Conclusions: Establishment of clinical guidelines for patient restraint, sedation, and necessity evaluation for CVC use are critical to improve CVC care safety. |
