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Comment & Response |

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

Patrizia Mordenti, MD, PhD1; Francesco Oleari, RN1; Luigi Cavanna, MD2
[+] Author Affiliations
1Ospedale Guglielmo da Saliceto, Oncologia-Ematologia, via Eaverna, 49, Piacenza (PC), 29121
2Dipartimento di Oncologia-Ematologia, Ospedale Guglielmo da Saliceto, via Taverna, 49–29121–Piacenza (PC), Italia
JAMA Intern Med. 2016;176(8):1225. doi:10.1001/jamainternmed.2016.3295.
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We read with interest an article by Chopra and colleagues1 in a recent issue of JAMA Internal Medicine, and using their study as a starting point, we critically evaluated the activity of our peripherally inserted central catheters (PICC) team. We established our PICC team in January 2013 to address the needs of and care for oncologic patients requiring the availability of reliable long- to medium-term venous access owing to the particular complexity of the chemotherapy regimens, the frequent need for a nutritional or transfusional support, and periodic blood sampling. In June 2013 we launched a learning program for nurses about the management of central venous access. In 2016 the course was opened to physicians and was centered just on the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) Guidelines2 and the recently published European Society of Medical Oncology (ESMO) Guidelines.3

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August 1, 2016
Vineet Chopra, MD, MSc; Steven J. Bernstein, MD, MPH; Scott A. Flanders, MD
1The Patient Safety Enhancement Program, VA Ann Arbor Health System, Ann Arbor, Michigan2Division of General Medicine, Department of Medicine, University of Michigan Health System, Ann Arbor
2Division of General Medicine, Department of Medicine, University of Michigan Health System, Ann Arbor3Center for Clinical Management Research, VA Ann Arbor Health System, Ann Arbor, Michigan
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.
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