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Research Letter
Less Is More
April 2016

Variations in Peripherally Inserted Central Catheter Use and Outcomes in Michigan Hospitals

Author Affiliations
  • 1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor
  • 2Patient Safety Enhancement Program, VA Ann Arbor Health Care System, Ann Arbor, Michigan
  • 3Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan
  • 4Department of Internal Medicine, Beaumont Hospital, Dearborn, Michigan
  • 5Department of Internal Medicine, Integrated Healthcare Associates and St Joseph Hospital, Ann Arbor, Michigan
  • 6Department of Internal Medicine, Hurley Medical Center, Flint, Michigan
JAMA Intern Med. 2016;176(4):548-551. doi:10.1001/jamainternmed.2015.8402

Use of peripherally inserted central catheters (PICCs) has grown substantially in hospitalized medical patients.1,2 However, data regarding PICC placement largely originate from single-center experiences or studies of highly select populations and outcomes.3 Consequently, little is known about variation in PICC use or outcomes across hospitals. To examine this, we conducted a prospective study at 10 hospitals through the Michigan Hospital Medicine Safety (HMS) Consortium, a quality–improvement initiative dedicated to preventing adverse events in hospitalized medical patients.

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