1. Galang, Heather DNP, RN-BC, CNL
  2. Hubbard-Wright, Chandra BSN, RN, CRNI
  3. Hahn, Donna S. DNP, RN, NEA-BC
  4. Yost, Gina BSN, RN, CSSBB
  5. Yoder, Laura PhD, RN
  6. Maduro, Ralitsa S. PhD
  7. Morgan, Merri K. DNP, RN, CCRN
  8. Zimbro, Kathie S. PhD, RN


Background: There was an increase in peripheral intravenous catheter (PIVC) complications and adverse patient events after product conversion during the merger between a rural hospital and a larger hospital system. A review of the existing literature identified a gap in evidence evaluating 2 closed PIVC systems compared with an open PIVC system.


Purpose: The purpose of the current project was to ascertain whether open or closed PIVCs are best for patients, staff, and the health care system in terms of 3 main criteria: quality, safety, and cost.


Methods: A prospective, 2-site randomized controlled trial was used to compare outcomes.


Results: There were no differences in the complication rates between catheter types. There was a statistically significant increase in blood leakage and a decrease in clinician satisfaction with the open-system catheter.


Conclusions: Our project supports current clinical recommendation that a closed PIVC system, regardless of type, is not only safer and cost-effective but also preferred by patients and clinicians.