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Comment & Response
August 2016

Peripherally Inserted Central Catheters—Improving Appropriateness With a Dedicated and Rigorous Team—Reply

Author Affiliations
  • 1The Patient Safety Enhancement Program, VA Ann Arbor Health System, Ann Arbor, Michigan
  • 2Division of General Medicine, Department of Medicine, University of Michigan Health System, Ann Arbor
  • 3Center for Clinical Management Research, VA Ann Arbor Health System, Ann Arbor, Michigan
JAMA Intern Med. 2016;176(8):1225-1226. doi:10.1001/jamainternmed.2016.3312

In Reply We thank Mordenti and colleagues for their response to our article regarding use of peripherally inserted central catheters (PICCs) in Michigan.1 We were pleased to learn that our work stimulated internal review of practices by their PICC team. Mordenti and colleagues report excellent outcomes: both immediate and delayed complication rates were low and indications for insertion appear appropriate. Although the dwell time for PICCs was not provided, we congratulate them on this achievement and their use of the Michigan Appropriateness Guide to Intravascular Catheters (MAGIC) to inform care.2

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