Evidence map›Paper›PMID 35273050›Full record

ArticleBMJ open2022

Peripheral intravenous cannulation decision-making in emergency settings: a qualitative descriptive study.

Hugo Evison, Mercedes Carrington, Gerben Keijzers, Nicole M Marsh, Amy Lynn Sweeny, Joshua Byrnes, Claire M Rickard, Peter J Carr, Jamie Ranse

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Peripheral Intravenous Access Rates Obtained by Emergency Medical Services in Pediatric Patients: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hugo EvisonGold Coast Region, Queensland Ambulance Service, Brisbane, Queensland, Australia hugo.evison@ambulance.qld.gov.au.ORCID 0000-0003-2911-3335
Mercedes CarringtonDepartment of Emergency Medicine, Robina Hospital, Robina, Queensland, Australia.
Gerben KeijzersDepartment of Emergency Medicine, Gold Coast Hospital and Health Service, Southport, Queensland, Australia.ORCID 0000-0003-1100-4552
Nicole M MarshAlliance for Vascular Access Teaching and Research, School of Nursing and Midwifery/School of Pharmacy and Medical Science, Griffith University, Nathan, Queensland, Australia.
Amy Lynn SweenyDepartment of Emergency Medicine, Gold Coast Hospital and Health Service, Southport, Queensland, Australia.ORCID 0000-0001-8392-5612
Joshua ByrnesSchool of Medicine, Centre for Applied Health Economics, Griffith University, Nathan, Queensland, Australia.
Claire M RickardAlliance for Vascular Access Teaching and Research, School of Nursing and Midwifery/School of Pharmacy and Medical Science, Griffith University, Nathan, Queensland, Australia.
Peter J CarrAlliance for Vascular Access Teaching and Research, School of Nursing and Midwifery/School of Pharmacy and Medical Science, Griffith University, Nathan, Queensland, Australia.
Jamie RanseDepartment of Emergency Medicine, Gold Coast Hospital and Health Service, Southport, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRates of unused (

designA qualitative descriptive study using in-depth semistructured interviews and thematic analysis.

settingGold Coast, Queensland, Australia, in a large tertiary level emergency department (ED) and local government ambulance service.

participantsParticipants recruited were ED clinicians (doctors, nurses) and paramedics who regularly insert PIVCs.

resultsFrom the 15 clinicians interviewed 4 key themes:

conclusionThe decision to insert a PIVC is more complicated than clinicians, administrators and policy-makers may realise. When explored, clinician decisions were multifaceted with many factors influencing the decision to insert a PIVC. In actual practice, clinicians routinely insert PIVCs in most patients as a learnt reflex with little cognitive input. When considering PIVC insertion, more time needs to be devoted to the awareness of: (1) decision-making in the context of the clinician's own experience, (2) cognitive biases and (3) patient-centred factors. Such awareness will support an appropriate risk assessment which will benefit the patient, clinician and healthcare system.

Indexed as

Catheterization, PeripheralEmergency Service, HospitalAustraliaEmergency TreatmentHumansQualitative Researchaccident & emergency medicinequalitative researchquality in health care

Identifiers

PMID35273050
PMCPMC8915296

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.