Utilization of a central venous catheter insertion care bundle in Taiwan: A cross-sectional analysis of the National Health Insurance Research Database.

Hui-Chun Chung, Lih-Shinn Wang, Jung-Lun Wu, Tsung-Cheng Hsieh

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Article in Tzu chi medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Hui-Chun ChungDepartment of Nursing, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.

Lih-Shinn WangDivision of Infectious Disease, Department of Internal Medicine, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.

Jung-Lun WuInstitute of Medical Sciences, College of Medicine, Tzu Chi University, Hualien, Taiwan.

Tsung-Cheng HsiehInstitute of Medical Sciences, College of Medicine, Tzu Chi University, Hualien, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of this study are to explore medical care utilization associated with promoting the central venous catheter (CVC) care bundle plan using Taiwan's National Health Insurance Research Database (NHIRD). MATERIALS AND

methodsWe performed a cross-sectional, secondary analysis of the data from patients who were admitted to a medical center for the first time between July 1, 2010, and June 30, 2012, in the NHIRD. The control group was patients who were admitted at nine medical center hospitals that participated in the pilot plan, and the study group was patients who were admitted at other ten medical center hospitals that did not participate in the pilot plan, and the differences between groups were analyzed.

resultsAfter implementing the CVC care bundle, the average hospital stay decreased significantly (18.43 ± 12.96 vs. 15.49 ± 10.16,

conclusionsBy implementing the CVC care bundle in clinical practice in accordance with national policies, medical utilization decreased, thereby considerably improving medical resource usage. These results confirmed that implementing the CVC care bundle possibly decreased medical utilization in clinical practice.

Indexed as

Central venous catheter-associated sepsisCentral venous catheter care bundleNational health insurance research databasePatients’ length of stayUse of medical resources

Identifiers

PMID31258295

DOI10.4103/tcmj.tcmj_63_18

PMCPMC6559030

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