Central Venous Catheter Guidewire Retention: Lessons From England’s Never Event Database

Conclusions Most retained guidewires are discovered after the procedure. Despite the introduction of safety measures, guidewire retention still occurs because the checks, alerts, reminders, and additional checklists all solely rely on the operator remembering not to make the mistake. System changes or design modifications to the CVC equipment are needed to prevent guidewire retention, this being at the top of the hierarchy of intervention effectiveness.
Source: Journal of Patient Safety - Category: Health Management Tags: Original Article Source Type: research