{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:16:57Z","timestamp":1747185417773,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T00:00:00Z","timestamp":1557705600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intercostal chest catheter (ICC) insertion is a common hospital procedure with attendant risks including life\u2010threatening complications such as pneumothorax and visceral damage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the effect of a quality improvement (QI) initiative on complications associated with inpatient thoracostomy tube insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following an audit of ICC complications in inpatients over a 2\u2010year period we implemented a comprehensive QI programme. This involved formal training in and mandatory use of thoracic ultrasound, standardisation of the procedure and documentation, a dedicated procedure room with nurses trained in assisting ICC insertion and senior supervision for medical staff. An audit over 2 years post\u2010implementation of the QI protocol was compared with pre\u2010implementation results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 103 cases were reviewed pre\u2010implementation and 105 cases were reviewed post\u2010implementation of the QI programme. All procedures following the QI initiative were image guided compared to 23.3% of cases pre\u2010implementation. The rate of developing a pneumothorax requiring intervention post\u2010implementation was less than pre\u2010implementation (1.9% vs 5.8% (<jats:italic>P<\/jats:italic> = 0.023). Post\u2010implementation, there were no instances of dry taps, viscera perforation, clinically significant bleeding or wrong side ICC insertion and documentation improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>QI initiative applied to thoracostomy tube insertion in hospital inpatients can reduce complications and improve procedure documentation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.14110","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T12:18:10Z","timestamp":1537359490000},"page":"644-649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Outcomes of an initiative to improve inpatient safety of small bore thoracostomy tube insertion"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6054-4606","authenticated-orcid":false,"given":"Concei\u00e7\u00e3o","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Campbelltown Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General and Acute Care Medicine Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Baraket","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Liverpool Hospital  Sydney New South Wales Australia"},{"name":"Department of Respiratory, Sleep and Environmental and Occupational Health (RSEOH)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Collett","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Liverpool Hospital  Sydney New South Wales Australia"},{"name":"Department of Respiratory, Sleep and Environmental and Occupational Health (RSEOH)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Xuan","sequence":"additional","affiliation":[{"name":"South West Clinical School University of New South Wales  Sydney New South Wales Australia"},{"name":"The Ingham Institute of Applied Medical Research  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan P.","family":"Williamson","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Liverpool Hospital  Sydney New South Wales Australia"},{"name":"Department of Respiratory, Sleep and Environmental and Occupational Health (RSEOH)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,13]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1058","article-title":"Pleural procedural complications: prevention and management","volume":"7","author":"Corcoran JP","year":"2015","journal-title":"J Thorac Dis"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000169"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134182"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-0447"},{"key":"e_1_2_6_6_1","first-page":"26","article-title":"Chest tube drainage of pleural effusions \u2013 an audit of current practice and complications at Hutt hospital","volume":"125","author":"Epstein E","year":"2012","journal-title":"N Z Med J"},{"key":"e_1_2_6_7_1","first-page":"37","article-title":"Complications of small bore intercostal chest catheters","volume":"16","author":"Gupta S","year":"2011","journal-title":"Respirology"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2009.01680.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2009.087759"},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1001\/archinte.1990.00390160119023","article-title":"Complications associated with thoracentesis a prospective, randomized study comparing three different methods","volume":"150","author":"Grogan DRI","year":"1990","journal-title":"Arch Intern Med"},{"volume-title":"Pleural Drains in Adults. A Consensus Guideline. Version V2.4","year":"2016","author":"Respiratory Network Agency for Clinical Innovation","key":"e_1_2_6_11_1"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1227"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-206114"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0012-3692(15)51155-0"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-124-9-199605010-00005"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12033"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137026"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12290"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12977"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12932"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13665-017-0164-1"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.128496"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13489"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.14110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.14110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T10:35:11Z","timestamp":1694342111000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.14110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1111\/imj.14110"],"URL":"https:\/\/doi.org\/10.1111\/imj.14110","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"2018-06-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}