Journal article
Guides, algorithms and other support tools to improve neonatal and pediatric venous access care: A scoping review
Journal of hospital medicine, 42543878
08/02/2026
DOI: 10.1002/jhm.70407
PMID: 42543878
Abstract
Background/Objective: Despite the ubiquitous need of venous access in children, care is often highly variable, lacking standardization. Our objective was to review current venous access guides, algorithms, and other tools available for clinical implementation; map out their focus (device type, population); and identify quality gaps.
Methods: A scoping review with a systematic search of Ovid MEDLINE and other databases was completed on January 24, 2025. All study designs describing the development of venous access guides/algorithms/tools for patients aged <18 years in the emergency department or inpatient units published after 2013 in English were included. Descriptive analysis was used to summarize the results. Quality of studies was assessed using the Appraisal of Guidelines for Research Evaluation (AGREE II) tool.
Results: Of the 105 studies included, 18% (n = 19) involved peripheral access, 66% (n = 69) involved central access, and 16% (n = 17) involved both. Neonates were the population of focus in half the publications (n = 52), and reduction in central line-associated bloodstream infections (CLABSI) was the primary aim of 56% (n = 59) of publications. Device selection and removal were two components of care with the lowest representation, particularly for peripheral access. Based on AGREE II scoring, 50% (n = 53) of identified guides/algorithms/tools were recommended for use. The lowest scoring quality domains were rigor of development and applicability, with 25% (n = 26) and 28% (n = 29) of studies, respectively, scoring in the lowest quintile.
Conclusions: Most venous access guides/algorithms/tools focus on CLABSI reduction and neonates, leaving gaps in guidance for other components of the care process and other populations.
Details
- Title: Subtitle
- Guides, algorithms and other support tools to improve neonatal and pediatric venous access care: A scoping review
- Creators
- Alina G. Burek - Children's Hospital of WisconsinKatie Butler - University of North Carolina at Chapel HillTracey Liljestrom - Children's Hospital of WisconsinErin Weber - University of Iowa Stead Family Children’s HospitalGrayce Endres - University of Iowa Stead Family Children’s HospitalLibby Stutzman - University of Iowa Stead Family Children’s HospitalKelsey Porada - Medical College of WisconsinAhmed Mohammed - University of IowaHayley E. Severson - Medical College of WisconsinKathryn E. Flynn - Medical College of WisconsinAmanda Ullman - The University of QueenslandMary Beth Hovda Davis - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of hospital medicine, 42543878
- DOI
- 10.1002/jhm.70407
- PMID
- 42543878
- NLM abbreviation
- J Hosp Med
- ISSN
- 1553-5592
- eISSN
- 1553-5606
- Publisher
- Wiley
- Number of pages
- 12
- Grant note
- K23HL175122 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Language
- English
- Date published
- 08/02/2026
- Academic Unit
- Nursing
- Record Identifier
- 9985219301402771
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