Abstract：
UNASSIGNED: A multitude of challenges arises from the growing utilisation of peripherally inserted central catheters (PICCs), including the ability to provide timely, effective and safe insertion, which must be ensured and prioritised in patient care. A nurse-led model of care has become more prevalent as PICCs become extensively needed due to their applications. However, despite their widespread use, such intervention is yet in its inception in Saudi Arabia, and thereby, evaluating the outcomes of this service is of utmost importance to support patient safety initiatives and quality of care.
UNASSIGNED: This research aims to assess the effectiveness of a nurse-led PICC placement service.
UNASSIGNED: A quantitative retrospective cohort design was used. The sample of this study was 333 random subsets of records on PICC insertion for adult patients between 1st April 2019 and 31st March 2023 in a tertiary medical facility in Riyadh, Saudi Arabia.
UNASSIGNED: A nurse-led PICC service demonstrated an overall successful placement of 330 cases (99.1%), out of which 323 PICCs (97%) were successfully inserted under intra-cavitary electrocardiogram (IC-ECG) guidance, while 7 PICCs (2.1%) were successfully inserted with fluoroscopy. The overall complication rate was 2.35 occurrences per 1000 CL days, whereas the complication rate within the first 10 days after PICC insertion was 0.42 per 1000 CL days.
UNASSIGNED: A nurse-led model for PICC insertion has remarkably high success rates and low rates of complication, highlighting the pivotal role of a specialised PICC team. This service boasted a commendable track record of achieving a high rate of success in its implementation, implying that a nurse-led PICC service operates effectively to improve the patient experience by delivering timely and high-quality healthcare service.
UNASSIGNED: This research aims to assess the effectiveness of a nurse-led PICC placement service.
UNASSIGNED: A quantitative retrospective cohort design was used. The sample of this study was 333 random subsets of records on PICC insertion for adult patients between 1st April 2019 and 31st March 2023 in a tertiary medical facility in Riyadh, Saudi Arabia.
UNASSIGNED: A nurse-led PICC service demonstrated an overall successful placement of 330 cases (99.1%), out of which 323 PICCs (97%) were successfully inserted under intra-cavitary electrocardiogram (IC-ECG) guidance, while 7 PICCs (2.1%) were successfully inserted with fluoroscopy. The overall complication rate was 2.35 occurrences per 1000 CL days, whereas the complication rate within the first 10 days after PICC insertion was 0.42 per 1000 CL days.
UNASSIGNED: A nurse-led model for PICC insertion has remarkably high success rates and low rates of complication, highlighting the pivotal role of a specialised PICC team. This service boasted a commendable track record of achieving a high rate of success in its implementation, implying that a nurse-led PICC service operates effectively to improve the patient experience by delivering timely and high-quality healthcare service.
摘要：
■外周插入中心导管（PICCs）的使用日益增加，带来了许多挑战。包括及时提供的能力，有效和安全的插入，必须确保并优先考虑患者护理。随着PICC由于其应用而变得广泛需要，护士主导的护理模式变得越来越普遍。然而,尽管它们被广泛使用，这种干预在沙特阿拉伯尚未开始，因此，评估这项服务的结果对于支持患者安全举措和护理质量至关重要.
■本研究旨在评估护士主导的PICC置管服务的有效性。
■采用定量回顾性队列设计。这项研究的样本是在利雅得的三级医疗机构中，在2019年4月1日至2023年3月31日期间，成人患者PICC插入记录的333随机子集。沙特阿拉伯。
■由护士主导的PICC服务显示出330例（99.1％）的总体成功安置，其中323个PICC（97％）在腔内心电图（IC-ECG）指导下成功插入，而7个PICCs(2.1%)通过透视成功插入。总并发症发生率为每1000个CL天2.35次，而插入PICC后前10天内的并发症发生率为0.42/1000CL天.
■以护士为主导的PICC置管模式，成功率高，并发症发生率低，强调专业PICC团队的关键作用。这项服务拥有值得称赞的记录，在实施中取得了很高的成功率，这意味着由护士主导的PICC服务通过提供及时和高质量的医疗保健服务来有效地改善患者体验。
■本研究旨在评估护士主导的PICC置管服务的有效性。
■采用定量回顾性队列设计。这项研究的样本是在利雅得的三级医疗机构中，在2019年4月1日至2023年3月31日期间，成人患者PICC插入记录的333随机子集。沙特阿拉伯。
■由护士主导的PICC服务显示出330例（99.1％）的总体成功安置，其中323个PICC（97％）在腔内心电图（IC-ECG）指导下成功插入，而7个PICCs(2.1%)通过透视成功插入。总并发症发生率为每1000个CL天2.35次，而插入PICC后前10天内的并发症发生率为0.42/1000CL天.
■以护士为主导的PICC置管模式，成功率高，并发症发生率低，强调专业PICC团队的关键作用。这项服务拥有值得称赞的记录，在实施中取得了很高的成功率，这意味着由护士主导的PICC服务通过提供及时和高质量的医疗保健服务来有效地改善患者体验。
