Incidents related to the Hickman® catheter: identification of damages

ABSTRACT Objective: to identify damages resulting from incidents with the Hickman® catheter. Method: descriptive, retrospective, qualitative approach. The source of data were the notifications of incidents that occurred between January 2012 and May 2015, as well as the information available on the medical records of patients involved in incidents with the Hickman® catheter. Results: the incidents related to the Hickman® catheter with the greatest impact on patient care were obstruction, fracture and traction. All incidents caused damage to patients, in a greater or lesser degree, in the dimensions of physical damage and subjective damage. Final considerations: damage or potential risk of damage was present in all incidents analyzed. The need to revise cleaning and obstruction protocols for the maintenance of the permeability of Hickman® catheters was demonstrated.

摘要
研究目的：明确Hickman®导管（Hickman® catheter）相关不良事件所致的机体损伤。
研究方法：采用描述性回顾性定性研究设计，数据来源于2012年1月至2015年5月期间上报的不良事件记录，以及涉及Hickman®导管不良事件患者的病历资料。
研究结果：对患者临床护理影响最为显著的Hickman®导管相关不良事件为导管堵塞、断裂及牵拉移位。所有不良事件均在不同程度上对患者造成了躯体损伤与主观损伤。
研究结论：本次分析的全部不良事件均存在明确损伤或潜在损伤风险。本研究证实，需修订Hickman®导管的清洁操作与堵塞处理规范，以维持其通畅性。