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Comment & Response |

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

Vineet Chopra, MD, MSc1,2; Steven J. Bernstein, MD, MPH2,3; Scott A. Flanders, MD3
[+] 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.
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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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August 1, 2016
Patrizia Mordenti, MD, PhD; Francesco Oleari, RN; Luigi Cavanna, MD
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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