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How Ambiguity in Healthcare Roles Affects Patient Safety

"Fragmentation of Care Threatens Patient Safety in Peripheral Vascular Catheter Management in Acute Care -- A Qualitative Study"
Enrique Castro-Sanchez,  Esmita Charani, Lydia N. Drumright, Nick Sevdalis, Nisha Shah, Alison H. Holmes
Public Library of Science, Volume 9, January 2014


Healthcare facilities around the world have adopted initiatives meant to drive down infection rates. Researchers in Britain suggest those initiatives are not as effective if healthcare personnel are unclear about their individual roles and responsibilities.

A cross section of study participants, including doctors, nurses and pharmacists, show there is confusion over who is responsible for peripheral vascular catheter (PVC) maintenance, removal and in some cases—who is responsible for inserting the devices.

When as many as five-million PVC’s are placed over one year in a facility, and approximately 5,000 of those results in a PVC related blood stream infection—it’s time to clear up the confusion. Enrique Castro-Sa´nchez explores the issue in a 2014 edition of the Public Library of Science.

Read about the full study here.





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