Safety IV Study
The Utilization of Safety Intravenous Catheters in Pediatric Anesthesiology Practice: a Survey
Investigators: Kimmo Murto M.D., FRCPC, Sophie Breton B.Sc., Kelly-Ann Ramakko B.Sc., Kathryn Williams MS, Rob Perverseff M.D., FRCPC, Greg Bryson M.D., FRCPC, M.Sc., B.Sc.
Introduction: This survey is a follow-up to an initial survey sent out in 2006. Legislation for mandatory use of safety intravenous catheters has recently been implemented in Canada. It had previously been established in the United States. Anesthesiologists are at an increased risk of receiving high- risk needle injuries compared to other physicians. There is little information regarding needle stick injuries in pediatric anesthesiologists or the implementation of safety intravenous catheters in centers managing pediatric patients. The results of this second survey will be compared to the results of the study conducted in 2006 to monitor the use of safety intravenous catheters in Canada.
Methods: An Internet survey will be e-mailed to all anesthesiologists practicing in Canada affiliated with the Canadian Society of Pediatric Anesthesia (CPAS) and those who work in one of the 16 Canadian tertiary care pediatric hospitals. It will be preceded by a "pre-notice” e-mail with a link to CHEO’s anesthesiology research website providing background information. The survey will be accompanied by a detailed “cover letter” explaining why a response is important. Afterwards, a "Thank you" e-mail will be sent a few days after the questionnaire to express appreciation for responding and if the questionnaire has not been completed to encourage its completion. A "replacement questionnaire" will be sent to non-respondents one to two weeks after the first questionnaire and it will be followed by a "contact" and a “final contact” one and two weeks later, respectively, to encourage completion of the survey. As an incentive, eligibility for enrollment into a draw for a prize will occur when a completed survey is returned. The survey will be available in French for those who would prefer it. All email correspondence will contain both English and a French translation and their associated language specific links.
Inclusion criteria: All Canadian anesthesiologists affiliated with CPAS or work in one of the 16 Canadian tertiary care pediatric hospitals.
Exclusion criteria: Anesthesiologist not practicing in Canada.
1. Attitudes toward the implementation of safety IV catheters and perceived efficacy.
2. Attitudes toward mandatory testing of anesthesiologists for blood borne pathogens.
3. Availability of safety intravenous catheters in the hospitals
4. Availability of safety intravenous catheters in the operating rooms of these hospitals.
5. Utilization of safety intravenous catheters by pediatric anesthesiologists.
6. Number of blood filled intravenous needle stick injuries in the last five years and the circumstances associated with them.
7. Epidemiology of other needle stick injuries in the last three years.
8. Availability of needle free intravenous tubing access in the operating room.
Results: A statistician will analyze the data. The primary outcomes will be attitudes towards and utilization of safety intravenous catheters amongst pediatric anesthesiologists in Canada. Secondary outcomes will include circumstances and mechanisms associated with needle stick injuries. We will comment on the number of needle stick injuries reported. We plan to present these findings at a Canadian national anesthesia meeting.
Thank you for your time and consideration.
Kimmo Murto M.D., FRCPC
Department of Anesthesiology
The Children's Hospital of Eastern Ontario
Frequently Asked Questions
Q: What is the overall objective of this study?
A: The objectives of this study are six fold:
1. Describe the attitude towards the use of safety IV catheters in general
2. Describe the attitude towards mandatory testing of anesthesiologists for blood borne pathogens.
3. To quantify the extent of nation wide adoption of safety IV catheters
4. To describe the types of safety IV catheters utilized in terms of mechanism of action, level of satisfaction regarding their function and identifying issues with design
5. To quantify the number and type of contaminated needle sticks injuries related to IV access in the last 3 years
6. To identify other sources of contaminated needle stick injuries
Q: Has the project received ethics approval?
A: Yes. The Research Ethics Board at the Children's Hospital of Eastern Ontario Research Institute, affiliated with the University of Ottawa, has approved the project.
Q: How will I provide my consent if I choose to participate?
A: Your consent to participate will be considered implied if you agree to complete the online survey. There will not be written, signed consent.
Q: Will the results be anonymous?
A: Your personalized link to the survey has been assigned a number. This information will be password-protected and accessible only to the Primary Investigator. Reporting of data for publication will be presented as aggregate data only. No hospital will be identified by name.
Q: Do I have to participate?
A: You are free to participate or not in our study. You are free to withdraw your participation from this study at anytime.
Q: Are there any anticipated harms from my participating in the study?
A: It would be extremely unlikely. All information will be treated anonymously. Neither you nor your hospital will be identified by name in any publication or report. All response data will be stored in a secure server located within the CHEO Research Institute.
Q: Who is funding the study?
A: It is a joint venture between the Children's Hospital of Eastern Ontario and Royal University Hospital, Departments of Anesthesiology. They are affiliated with the Universities of Ottawa and Saskatchewan, respectively.
Q: Who are the members of the research group?
A: Kimmo Murto (PI), MD, FRCPC, Sophie Breton, B.Sc., Kelly-Ann Ramakko, B.SC., Kathryn Williams, MS., Rob Perverseff MD, FRCPC,Greg Bryson M.D., FRCPC, M.Sc., B.Sc.and our affiliations are located at the bottom of the pre-notice e-mail.
Q: Who can I contact if I have any other questions?
A: Please feel free to contact myself, Kimmo Murto, at Kmurto@cheo.on.ca or by phone: 613-737-2431.