From little things, big things grow : An exploratory analysis of the national cost of peripheral intravenous catheter insertion in Australian adult emergency care

Journal article


Morgan, Rachel, Callander, Emily, Cullen, Louise, Walker, Katie, Bumpstead, Suzanne, Hawkins, Tracey, Kuhn, Lisa and Egerton-Warburton, Diana. (2022). From little things, big things grow : An exploratory analysis of the national cost of peripheral intravenous catheter insertion in Australian adult emergency care. Emergency Medicine Australasia. 34(6), pp. 877-883. https://doi.org/10.1111/1742-6723.14009
AuthorsMorgan, Rachel, Callander, Emily, Cullen, Louise, Walker, Katie, Bumpstead, Suzanne, Hawkins, Tracey, Kuhn, Lisa and Egerton-Warburton, Diana
Abstract

Objective
To estimate the total economic impact of peripheral intravenous catheter (PIVC) or cannula insertion and use in adult Australian EDs, including those cannulas that remain unused for therapeutic purposes.

Methods
Searches on Australian government websites were conducted to find rates of insertion, complications and cost of cannula; following this, gaps in national data sets were filled with MEDLINE and PubMed searches to estimate the total cost of cannula use in Australian EDs. Once the data were collected, totals were combined to establish an estimated cost for the listed categories.

Results
The estimated cost of cannulation in Australia may be up to A$594 million per year, including the cost of insertion (equipment and staff), cost of complications such as Staphylococcus aureus bacteraemia and phlebitis, and patient-centred costs (lost patient productivity, infiltration, occlusion and dislodgement). Approximately A$305.9 million is attributed to unused cannulas and approximately 11 790 days of clinician time is spent annually inserting cannula that remains idle.

Conclusion
The figures developed in the present study represent an important educational opportunity to encourage thoughtful consideration of all interventions, no matter how small. ED cannula insertion represents a large economic and health cost to Australia's health system, many of which remain unused. There are no national data sets that record complications associated with PIVCs and we highlight the urgent need for improved data.

KeywordsAustralia; emergency treatment; healthcare costs; medicine; peripheral venous catheterisation; staphylococcal infections
Year2022
JournalEmergency Medicine Australasia
Journal citation34 (6), pp. 877-883
PublisherJohn Wiley & Sons Australia, Ltd
ISSN1742-6731
Digital Object Identifier (DOI)https://doi.org/10.1111/1742-6723.14009
PubMed ID35567373
Scopus EID2-s2.0-85129907159
PubMed Central IDPMC9790706
Open accessPublished as ‘gold’ (paid) open access
Page range877-883
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online14 May 2022
Publication process dates
Accepted17 Apr 2022
Deposited05 Jul 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8z39v/from-little-things-big-things-grow-an-exploratory-analysis-of-the-national-cost-of-peripheral-intravenous-catheter-insertion-in-australian-adult-emergency-care

Download files


Publisher's version
OA_Morgan_2022_From_little_things_big_things_grow.pdf
License: CC BY 4.0
File access level: Open

  • 46
    total views
  • 68
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Vital signs monitoring in Australasian emergency departments : Development of a consensus statement from ACEM and CENA
Connell, Cliff, Craig, Simon, Crock, Carmel, Kuhn, Lisa, Morphet, Julia and Unwin, Maria. (2024). Vital signs monitoring in Australasian emergency departments : Development of a consensus statement from ACEM and CENA. Australasian Emergency Care. 27(3), pp. 207-217. https://doi.org/10.1016/j.auec.2024.04.001
Core competencies of emergency nurses for the armed conflict context : Experiences from the field
Mani, Zakaria A., Kuhn, Lisa and Plummer, Virginia. (2023). Core competencies of emergency nurses for the armed conflict context : Experiences from the field. International Nursing Review. pp. 1-10. https://doi.org/10.1111/inr.12902
Potential impact of a novel pathway for suspected myocardial infarction utilising a new high-sensitivity cardiac troponin I assay
Meek, Robert, Cullen, Louise, Lu, Zhong Xian, Nasis, Arthur, Kuhn, Lisa and Sorace, Laurence. (2022). Potential impact of a novel pathway for suspected myocardial infarction utilising a new high-sensitivity cardiac troponin I assay. Emergency Medicine Journal. 39(11), pp. 847-852. https://doi.org/10.1136/emermed-2020-210812
The relationship between social media usage by undergraduate nursing students and development of their professional identity : A correlational study
Alharbi, Muna, Kuhn, Lisa and Morphet, Julia. (2022). The relationship between social media usage by undergraduate nursing students and development of their professional identity : A correlational study. Nurse Education Today. 112, p. Article 105337. https://doi.org/10.1016/j.nedt.2022.105337
Predictors of radial to femoral artery access crossover during primary percutaneous coronary intervention for ST-elevation myocardial infarction
Dang, Denee, Kuhn, Lisa, Fooladi, Ensieh, Ky, Vivian, Cheung, Kevin, Rashid, Hashrul and Zaman, Sarah. (2022). Predictors of radial to femoral artery access crossover during primary percutaneous coronary intervention for ST-elevation myocardial infarction. Heart, Lung and Circulation. 31(7), pp. 985-992. https://doi.org/10.1016/j.hlc.2022.01.016
Search-based fairness testing for regression-based machine learning systems
Perera, Anjana, Aleti, Aldeida, Tantithamthavorn, Chakkrit, Jiarpakdee, Jirayus, Turhan, Burak, Kuhn, Lisa and Walker, Katie. (2022). Search-based fairness testing for regression-based machine learning systems. Empirical Software Engineering. 27(3), p. Article 79. https://doi.org/10.1007/s10664-022-10116-7
Sex disparities in myocardial infarction : Biology or bias?
Stehli, Julia, Duffy, Stephen J., Burgess, Sonya, Kuhn, Lisa, Gulati, Martha, Chow, Clara and Zaman, Sarah. (2021). Sex disparities in myocardial infarction : Biology or bias? Heart, Lung and Circulation. 30(1), pp. 18-26. https://doi.org/10.1016/j.hlc.2020.06.025
The influence of nurse allocated triage category on the care of patients with sepsis in the emergency department : A retrospective review
Nevill, Alexandra, Kuhn, Lisa, Thompson, John and Morphet, Julia. (2021). The influence of nurse allocated triage category on the care of patients with sepsis in the emergency department : A retrospective review. Australasian Emergency Care. 24(2), pp. 121-126. https://doi.org/10.1016/j.auec.2020.09.002
The sourcing and use of high physical resemblance personal protective equipment to train healthcare workers, improve confidence and conserve medical-grade equipment
Bumpstead, S., Lim, Z. J., Kuhn, L., Flynn, D., Bakos, C.-L., Potter, E. and Egerton-Warburton, D.. (2021). The sourcing and use of high physical resemblance personal protective equipment to train healthcare workers, improve confidence and conserve medical-grade equipment. Journal of Hospital Infection. 112, pp. 104-107. https://doi.org/10.1016/j.jhin.2021.04.003
Nursing students' engagement with social media as an extracurricular activity : An integrative review
Alharbi, Muna, Kuhn, Lisa and Morphet, Julia. (2021). Nursing students' engagement with social media as an extracurricular activity : An integrative review. Journal of Clinical Nursing. 30(1-2), pp. 44-55. https://doi.org/10.1111/jocn.15503
The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory
Nicholson, Patricia, Kuhn, Lisa, Manias, Elizabeth and Sloman, Marie. (2021). The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory. Australian Critical Care. 34(4), pp. 350-357. https://doi.org/10.1016/j.aucc.2020.10.005
The nurses’ role in antimicrobial stewardship : A scoping review
van Huizen, Pheona, Kuhn, Lisa, Russo, Philip L. and Connell, Clifford J.. (2021). The nurses’ role in antimicrobial stewardship : A scoping review. International Journal of Nursing Studies. 113, p. Article 103772. https://doi.org/10.1016/j.ijnurstu.2020.103772
Nurse expertise : A critical resource in the COVID-19 pandemic response
Schwerdtl, Patricia Nayna, Connell, Clifford J., Lee, Susan, Plummer, Virginia, Russo, Philip L., Endacott, Ruth and Kuhn, Lisa. (2020). Nurse expertise : A critical resource in the COVID-19 pandemic response. Annals of Global Health. 86(1), pp. 1-5. https://doi.org/10.5334/aogh.2898
Recent trends in heroin and pharmaceutical opioid-related harms in Victoria, Australia up to 2018
Lam, Tina, Kuhn, Lisa, Hayman, Jane, Middleton, Melissa, Wilson, James, Scott, Debbie, Lubman, Dan, Smith, Karen and Nielsen, Suzanne. (2020). Recent trends in heroin and pharmaceutical opioid-related harms in Victoria, Australia up to 2018. Addiction. 115(2), pp. 261-269. https://doi.org/10.1111/add.14784
Common domains of core competencies for hospital health care providers in armed conflict zones : A systematic scoping review
Mani, Zakaria A., Kuhn, Lisa and Plummer, Virginia. (2020). Common domains of core competencies for hospital health care providers in armed conflict zones : A systematic scoping review. Prehospital and Disaster Medicine. 35(4), pp. 442-446. https://doi.org/10.1017/S1049023X20000503
A systematic review of opioid overdose interventions delivered within emergency departments
Chen, Yanjin, Wang, Yanbin, Nielsen, Suzanne, Kuhn, Lisa and Lam, Tina. (2020). A systematic review of opioid overdose interventions delivered within emergency departments. Drug and Alcohol Dependence. 213, p. Article 108009. https://doi.org/10.1016/j.drugalcdep.2020.108009
Physical health assessment and cardiometabolic monitoring practices across three adult mental health inpatient units – a retrospective cohort study
Howard, Rebekah, Kuhn, Lisa, Millar, Freyja and Street, Maryann. (2020). Physical health assessment and cardiometabolic monitoring practices across three adult mental health inpatient units – a retrospective cohort study. International Journal of Mental Health Nursing. 29(6), pp. 1144-1156. https://doi.org/10.1111/inm.12755
Undergraduate nursing students' adoption of the professional identity of nursing through social media use : A qualitative descriptive study
Alharbi, Muna, Kuhn, Lisa and Morphet, Julia. (2020). Undergraduate nursing students' adoption of the professional identity of nursing through social media use : A qualitative descriptive study. Nurse Education Today. 92, p. Article 104488. https://doi.org/10.1016/j.nedt.2020.104488
Effect of gender on evidence-based practice for Australian patients with acute coronary syndrome : A retrospective multi-site study
Kuhn, Lisa, Page, Karen, Street, Maryann, Rolley, John and Considine, Julie. (2017). Effect of gender on evidence-based practice for Australian patients with acute coronary syndrome : A retrospective multi-site study. Australasian Emergency Nursing Journal. 20(2), pp. 63-68. https://doi.org/10.1016/j.aenj.2017.02.002