Document Type

Article

Publication Date

7-2023

Publication Title

Expert Review of Medical Devices

Keywords

Central venous catheter, anesthesiology, provider preferences, patient safety, ease-of-use, risk reduction

ISSN

1745-2422

Volume

20

Issue/No.

7

First Page

607

Last Page

614

Abstract

Objectives: Central venous catheters (CVC) are frequently utilized with limited data on user preferences. A simulation/survey-based study was conducted among anesthesia providers to evaluate attitudes toward general CVC system attributes, and satisfaction with elements of the most-commonly used and a novel CVC system. Methods: Forty providers completed a simulation using both CVC systems and a 29-item questionnaire, including multiple-choice, free-text, ranking, and Likert-like questions. Ranking scores were reported using a scale of 0 (least important/satisfactory) to 100 (most important/satisfactory). Statistical significances were evaluated via Wilcoxon signed-rank sum test. Results: Participants chose (mean±SD) patient safety (83.9 ± 25.3), ease-of-use (64.6 ± 26.1), and reduced risk for error (61.1 ± 26.7) as the most important attributes when considering a CVC system. Satisfaction levels were significantly higher for the novel system: overall (p < 0.001), its ease-of-use (p < 0.001), tray layout/design (p < 0.001), and safety (p = 0.012). Mean satisfaction scores were significantly higher for the novel system’s potential to reduce 5 of 7 common issues, including clinician error (p < 0.001), and contamination/infection (p < 0.001). Conclusion: Anesthesia providers preferred CVC systems promoting patient safety, ease-of-use and reduce clinician error. Significantly higher (p < 0.05) satisfaction scores were awarded to a novel system featuring a sequentially organized tray, enhanced labeling, and a guidewire funnel.

Comments

Funding This work was sponsored by Becton, Dickinson and Company. The study sponsor was involved in the survey design, implementation, and writing of this manuscript. The study sponsor was not involved in the data analysis.

Declaration of interest RW has no disclosures to report. KA, MO, EB and KH report current employment and stock ownership with Becton, Dickinson and Company, which manufactured the novel CVC system (BD™ CentroVena® Acute CVC System) and sponsored this study. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

DOI

10.1080/17434440.2023.2219001

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