Chih-Feng Su, Li-Wei Lin, Tzu-Yao Hung, Chi-Chun Peng, Cho-Chao Feng, Chaou-Shune Lin
An Evaluation of the Use of Student Response Systems in Teaching Diagnostic Reasoning for Physicians
Journal of acute medicine
introduction central venous access devices cvads indispensable management pediatric cancer patients offering vital access treatment yet complications related cvads infections thrombosis dislocations pose significant risks potentially leading prolonged hospitalization intensive care unit admission even mortality address challenges hospital established pediatric cvad surveillance rounding team improve management care pediatric patients cvads materials methods singlecenter retrospective study evaluated impact pediatric cvad surveillance rounding team management pediatric oncology patients cvads kurashiki central hospital kurashiki japan included pediatric cancer patients 18 years age underwent cvad placement january 2018 december 2022 team conducted weekly rounds focusing comprehensive checklist ensure optimal cvad care compared incidence catheterrelated complications establishment rounding team using students ttest fishers exact test results study encompassed 28 patients 39 implementation surveillance rounds significant reductions observed number dislocations 286 0 p 0001 local infections 179 26 p 004 decreases thrombosis catheter breakagerupture catheterrelated bloodstream infections crbsis reach statistical significance suggest favorable trend toward enhanced management cvads conclusions establishment pediatric cvad surveillance rounding team significantly reduced incidence dislocations local infections among pediatric cancer patients cvads multidisciplinary team approach highlights importance continuous surveillance teamwork education enhancing quality cvad care contributing safer patient outcomes emphasizing need continuous improvement pediatric cvad management