{"id":5026,"date":"2023-01-30T00:10:10","date_gmt":"2023-01-30T00:10:10","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=5026"},"modified":"2023-04-12T14:21:20","modified_gmt":"2023-04-12T14:21:20","slug":"extravasation-injury-claims-cost-nhs-15-million","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/news-innovation\/extravasation-injury-claims-cost-nhs-15-million\/","title":{"rendered":"Extravasation injury claims cost NHS \u00a315.6 million"},"content":{"rendered":"<p>When any form of liquid accidentally leaks from a vein into surrounding tissues, it can cause serious harm to patients<sup>1<\/sup>. Leakage of a nonvesicant solution is called infiltration<sup>2<\/sup>. Leakage of a vesicant solution is called extravasation<sup>2<\/sup>.<\/p>\n<p>Extravasation may lead to the following injuries: bruising, scarring, tissue damage, unnecessary pain, additional or unnecessary operations, cosmetic disfigurement and even death<sup>1<\/sup>.<\/p>\n<p>When cause by leaked cytotoxic drugs, extravasation can take several hours or days to develop. The injury may not be noticeable at first.<\/p>\n<h4><strong>A decade of extravasation injury claims<\/strong><\/h4>\n<p>From April 2011 to March 2021, 444 extravasation injury claims were submited to the U.K. National Health Service (NHS)<sup>1<\/sup>. These claims cost the NHS an estimated total f \u00a315.6 million<sup>1<\/sup><sup>1<\/sup>.<\/p>\n<p>The total cost to the British healthcare system includes payment for<sup>1<\/sup>:<\/p>\n<ul>\n<li>Claimant legal costs<\/li>\n<li>NHS legal costs<\/li>\n<li>Damages<\/li>\n<\/ul>\n<p>In its \u2018Did you know?\u2019 series, the U.K. National Health Service (NHS) Resolution published an analysis of extravasation-related litigation claims<sup>1<\/sup>: <em>NHS Resolution. Did you know? Extravasation. Published online March 1, 2022. <\/em><a href=\"https:\/\/resolution.nhs.uk\/wp-content\/uploads\/2022\/03\/Did-You-Know-Extravasation.pdf\"><em>https:\/\/resolution.nhs.uk\/wp-content\/uploads\/2022\/03\/Did-You-Know-Extravasation.pdf<\/em><\/a><\/p>\n<p>The report features trends and key learnings. It also focuses on the factors that contribute to extravasation injury. Finally, it ends with a list of practice recommendations to help prevent this intravenous (IV) complication.<\/p>\n<p>In the report, compensation claims are divided by specialty. Over half of claims come from paediatrics (23%) and oncology (19%).<\/p>\n<p><strong>More on this topic: <\/strong><a href=\"https:\/\/eu.bd.com\/iv-news\/events-training\/improving-patient-experiences-by-understanding-infusate-properties-and-their-effects-on-vasculature-wocova-2021-symposium\/\">Improving patient experiences by understanding infusate properties and their effects on vasculature<\/a><\/p>\n<h4><strong>What are the main factors that could lead to extravasation injury?<\/strong><sup>1<\/sup><\/h4>\n<p>Infusion problems (29%) were identified as the most frequent factor for developing this type of injury. One reason for this was incorrectly selecting the pressure on the medication infusion pump. Another reason was a lack of compliance with manufacturers\u2019 or local guidance on IV medication administration.<\/p>\n<p>Inadequate nursing care is the second most frequent cause of extravasation (16%). This may be linked to a failure to act when patients complain of pain or discomfort around the injection site. Another factor could be delays in identifying extravasation injuries in their patients.<\/p>\n<p>Medication errors ranked third as a factor that can lead to extravasation injuries (14%). These include incorrect medication, incorrect dose as well as the wrong route of administration.<\/p>\n<p>The feet were the most frequent site where extravasation injuries occurred in children. These may be caused by patient movement or bandaging of the cannula that prevents access and observation.<\/p>\n<p><strong>More on this topic: <\/strong><a href=\"https:\/\/eu.bd.com\/iv-news\/scientific-publications\/nivas-white-paper-the-benefits-of-a-vascular-access-team\/\">NIVAS white paper: The benefits of a vascular access team<\/a><\/p>\n<p><strong>How healthcare facilities can help prevent extravasation injury<\/strong><sup>1<\/sup><\/p>\n<ul>\n<li>Make sure local guidance on extravasation is available to all healthcare professionals (HCPs)<\/li>\n<li>Provide training to front-line HCPs on the risk of extravasation and on treatment for extravasation injuries<\/li>\n<li>Review the reporting procedure and extravasation injury claims and make sure all HCPs are aware of the key learnings from them<\/li>\n<li>Include manufacturer\u2019s guidance, evidence-based practice and patient support organisations in resources provided to patients on extravasation injury<\/li>\n<\/ul>\n<p>The insights gained from this report will help HCPs to better manage this harmful and potentially fatal IV complication.<\/p>\n    <div id=\"newslettercta\">\n        <div class=\"tnp tnp-subscription-minimal newsregister\">\n            <form method=\"post\" id=\"newsletter_form\">\n                <input id=\"email_newsletter\" class=\"tnp-email\" type=\"email\" required placeholder=\"Email\">\n                <input id=\"submit_newsletter\" class=\"tnp-submit\" type=\"submit\" value=\"Subscribe\">\n\n                <label>\n                    <input type=\"checkbox\" name=\"accept\" required \/>\n                    <small>\n                        Send me the BD IV News newsletter. I expressly agree to receive the newsletter and know that I can easily unsubscribe at any time.                    <\/small>\n                <\/label>\n                <p id=\"validamessage\" style=\"display: none;color: #00b8b0;margin: 5px 0;\">\n\n                    Thank you for your registration.\n                <\/p>\n            <\/form>\n        <\/div>\n    <\/div>\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When any form of liquid accidentally leaks from a vein into surrounding tissues, it can cause serious harm to patients1&#8230;.<\/p>\n","protected":false},"author":8,"featured_media":5040,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5026","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-innovation","speciality-vascular-access","contenttype-article","target-hospital-director-manager"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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