Carr PJ, Higgins NS, Cooke ML, Mihala G, Rickard CM Vascular access specialist teams for device insertion and prevention of failure. Cochrane Database Syst Rev. 2018; 3:(3)

Morrell E Reducing risks and improving vascular access outcomes. J Infus Nurs. 2020; 43:(4)222-228

Moureau NL, Carr PJ Vessel health and preservation: a model and clinical pathway for using vascular access devices. Br J Nurs. 2018; 27:(8)S28-S35

Wang K, Zhong J, Huang N, Zhou Y Economic evaluation of peripherally inserted central catheter and other venous access devices: a scoping review. J Vasc Access. 2020; 21:(6)826-837

Takahashi T, Murayama R, Abe-Doi M Preventing peripheral intravenous catheter failure by reducing mechanical irritation. Sci Rep. 2020; 10:(1)

Chan RJ, Northfield S, Larsen E Central venous access device SeCurement and dressing effectiveness for peripherally inserted central catheters in adult acute hospital patients (CASCADE): a pilot randomised controlled trial. Trials. 2017; 18:(1)

Marsh N, Webster J, Larson E, Cooke M, Mihala G, Rickard CM Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: a multivariable analysis of peripheral intravenous catheter failure. J Hosp Med. 2018; 13:(2)83-89

Schults J, Kleidon T, Chopra V International recommendations for a vascular access minimum dataset: a Delphi consensus-building study. BMJ Qual Saf. 2020; 30:(0)722-730

Takashima M, Schults J, Mihala G, Corley A, Ullman A Complication and failures of central vascular access device in adult critical care settings. Crit Care Med. 2018; 46:(12)1998-2009

Mermel LA Short-term peripheral venous catheter-related bloodstream infections: a systematic review. Clin Infect Dis. 2017; 65:(10)1757-1762

Moureau N Establishing vascular access teams for patient safety. Infection Control Today. 2020; 24:(4)30-33

Robinson WP, Doucet DR, Simons JP An intensive vascular surgical skills and simulation course for vascular trainees improves procedural knowledge and self-rated procedural competence. J Vasc Surg. 2017; 65:(3)907-915

Schmidt GA, Blaivas M, Conrad SA Ultrasound-guided vascular access in critical illness. Intensive Care Med. 2019; 45:(4)434-446

Platt V, Osenkarski S Improving vascular access outcomes and enhancing practice. J Infus Nurs. 2018; 41:(6)375-382

Bell JA, Spencer TR Implementing an emergency department vascular access team: a quality review of training, competency, and outcomes. J Vasc Access. 2021; 22:(1)81-89

Impact assessment following implementation of a vascular access team. 2020.

Mussa B, Pinelli F, Cortes Rey N Qualitative interviews and supporting evidence to identify the positive impacts of multidisciplinary vascular access teams. Hosp Pract (1995). 2021; 49:(3)1-10

Carr PJ, Higgins NS, Cooke ML, Mihala G, Rickard CM Vascular access specialist teams for device insertion and prevention of failure. Cochrane Database Syst Rev. 2018; 3

Savage TJ, Lynch AD, Oddera SE Implementation of a vascular access team to reduce central line usage and prevent central line-associated bloodstream infections. J Infus Nurs. 2019; 42:(4)193-196

Schoonenboom J, Johnson RB How to construct a mixed methods research design. Kolner Z Soz Sozpsychol. 2017; 69:107-131

O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014; 89:(9)1245-1251

Sunderji N, Waddell AE Mixed methods convergent study designs in health professions education research: toward meaningful integration of qualitative and quantitative data. Acad Med. 2018; 93:(7)

Kiger ME, Varpio L Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 2020; 42:(8)846-854

Chandramohan S, Navalkele B, Mushtaq A, Krishna A, Kacir J, Chopra T Impact of a multidisciplinary infection prevention initiative on central line and urinary catheter utilization in a long-term acute care hospital. Open Forum Infect Dis. 2018; 5:(7)

The state of vascular access teams: results of a European survey. 2021.

Hartman JH, Bena JF, Morrison SL, Albert NM Effect of adding a pediatric vascular access team component to a pediatric peripheral vascular access algorithm. J Pediatr Health Care. 2020; 34:(1)4-9

Sinha MD, Saha P, Melhem N Vascular access support teams: a multi-disciplinary response to optimise patient care during the COVID-19 pandemic. J Crit Care. 2021; 65:184-185

Curto-Garcia N, Garcia-Suarez J, Callejas Chavarria M A team-based multidisciplinary approach to managing peripherally inserted central catheter complications in high-risk haematological patients: a prospective study. Support Care Cancer. 2016; 24:(1)93-101

Sou V, McManus C, Mifflin N, Frost SA, Ale J, Alexandrou E A clinical pathway for the management of difficult venous access. BMC Nurs. 2017; 16

Goodfriend L, Kennedy S, Hein A, Baker R Implementation of a vascular access experience program to train unit-based vascular access champions. J Infus Nurs. 2020; 43:(4)193-199

Whalen M, Maliszewski B, Baptiste DL Establishing a dedicated difficult vascular access team in the emergency department: a needs assessment. J Infus Nurs. 2017; 40:(3)149-154

Hulse AL Designing and evaluating vascular access training using educational theory. Br J Nurs. 2018; 27:(2)S27-S33

Marsh N, Webster J, Larsen E Expert versus generalist inserters for peripheral intravenous catheter insertion: a pilot randomised controlled trial. Trials. 2018; 19:(1)

Archer-Jones A, Sweeny A, Schults JA Evaluating an ultrasound-guided peripheral intravenous cannulation training program for emergency clinicians: an Australian perspective. Australas Emerg Care. 2020; 23:(3)151-156

Gorski LA The 2016 infusion therapy standards of practice. Home Healthcare Now. 2017; 35:(1)10-18

Gorski LA, Hadaway L, Hagle ME Infusion therapy standards of practice, 8th edition. J Infus Nurs. 2021; 44:(1S)S1-S224

Cales YK, Rheingans J, Steves J, Moretti M Electrocardiogram-guided peripherally inserted central catheter tip confirmation using a standard electrocardiogram machine and a wide-mouth electrocardiogram clip compared with traditional chest radiograph. J Assoc Vasc Access. 2016; 21:(1)44-54

Oliver G, Jones M ECG-based PICC tip verification system: an evaluation 5 years on. Br J Nurs. 2016; 25:(19)S4-S10

Kim-Saechao SJ, Almario E, Rubin ZA A novel infection prevention approach: leveraging a mandatory electronic communication tool to decrease peripherally inserted central catheter infections, complications, and cost. Am J Infect Control. 2016; 44:(11)1335-1345

Rosenthal VD, Bat-Erdene I, Gupta D International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012–2017: device-associated module. Am J Infect Control. 2020; 48:(4)423-432

Bell T, O'Grady NP Prevention of central line-associated bloodstream infections. Infect Dis Clin North Am. 2017; 31:(3)551-559

Meyer BM, Berndt D, Biscossi M Vascular access device care and management: a comprehensive organizational approach. J Infus Nurs. 2020; 43:(5)246-254

Carr PJ, Higgins NS, Cooke ML, Rippey J, Rickard CM Tools, clinical prediction rules, and algorithms for the insertion of peripheral intravenous catheters in adult hospitalized patients: a systematic scoping review of literature. J Hosp Med. 2017; 12:(10)851-858

Chun TT, Judelson DR, Rigberg D Managing central venous access during a health care crisis. J Vasc Surg. 2020; 72:(4)1184-1195

Ilonzo N, Rao A, Soundararajan K The importance of a centralized line service during the COVID-19 pandemic. J Vasc Surg. 2020; 72:(2)403-404

Creation of a dedicated line team for critically ill patients with COVID-19: a multidisciplinary approach to maximize resource utilization during the COVID-19 pandemic. 2021.

Fujioka G, Newcomb P, Hunchusky C, Myers H, Behan D Pain perception of a structured vascular access team approach to short peripheral catheter (SPC) placement compared to SPC placement by bedside nurses. J Infus Nurs. 2020; 43:(1)33-38

Velissaris D, Karamouzos V, Lagadinou M, Pierrakos C, Marangos M Peripheral inserted central catheter use and related infections in clinical practice: a literature update. J Clin Med Res. 2019; 11:(4)237-246

Gopal G, Suter-Crazzolara C, Toldo L, Eberhardt W Digital transformation in healthcare—architectures of present and future information technologies. Clin Chem Lab Med. 2019; 57:(3)328-335

Vascular access teams: a global outlook on challenges, benefits, opportunities, and future perspectives

21 July 2022
Volume 31 · Issue 14



Specialized vascular access training for medical professionals organized into vascular access teams (VATs) was shown to improve patient outcomes, clinical efficiency, and cost savings. Professional perspectives on VAT benefits, organization, challenges, and opportunities on a global scale remain inadequately explored. Using detailed perspectives, in this study, we explored the global VAT landscape, including challenges faced, clinical and clinico-economic impacts of VATs, with emphasis on underresearched facets of VAT initiation, data dissemination, and metrics or benchmarks for VAT success.


Semistructured in-depth interviews of 14 VAT professionals from 9 countries and 5 continents were used to elicit qualitative and quantitative information.


Catheter insertions (100%) and training (86%) were the most performed VAT functions. Based on a 1–7 scale evaluating observed impacts of VATs, patient satisfaction (6.5) and institutional costs (6.2) were ranked the highest. VAT co-initiatives, advanced technology utilization (6.6), and ongoing member training (6.3) distinctly impacted VAT endeavors. Most institutions (64%) did not have routine mechanisms for recording VAT-related data; however, all participants (100%) stated the importance of sharing data to demonstrate VAT impacts. Time constraints (57%) emerged as one of the major deterrents to data collection or dissemination. The majority (64%) experienced an increased demand or workload for VAT services during the COVID-19 pandemic.


Despite the global variances in VATs and gaps in VAT-related data, all participants unanimously endorsed the benefits of VAT programs. Evaluating the impact of VATs, disseminating VAT-related data, and forging specialized institutional partnerships for data sharing and training are potential strategies to tackle the hurdles surrounding VAT formation and sustenance.

Numerous vascular access devices (VADs) are placed worldwide annually,1 with up to 90% of all hospitalized patients undergoing catheter placement,2,3 resulting in substantial health care expenditures.4 Even under ideal clinical conditions, VAD failure rates range between 25% and 69% due to device malfunction or clinical complications.5,6,7,8,9 Nosocomial infections, such as central line-associated bloodstream infections (CLABSIs), are especially concerning given the plethora of associated comorbidities, including thrombosis, phlebitis, and bacteremia.10 Given the potential clinical and financial benefits of optimized vascular access (VA) practice, there is an imperative to establish VA teams (VATs) with expertise in VAD selection, placement, and management.3,11 Specialized training inVA may reduce VAD failure rates, leading to better clinico-economic outcomes.2,3,1213,14

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content