20.500.12556/RUL-185712 Effectiveness of nurse-led peripherally inserted central catheter placement versus physician-led picc insertion a literature review Reliable vascular access remains essential in modern clinical practice, with peripherally inserted central catheters representing an important option for safe and effective medium- and long-term administration of intravenous therapy. In many healthcare systems, specialized Vascular Access Teams, often nurse-led, have been introduced to improve insertion efficiency, safety, and service organization delivery. A descriptive literature review was conducted using the databases Scopus, Web of Science, and PubMed to evaluate nurse-led versus physician-led peripherally inserted central catheters insertion models and the role of vascular access teams. Search terms included combinations of nurse-led, physician-led, vascular access team, intracavitary electrocardiography, tip confirmation and global development. English-language studies involving adult populations and focusing on insertion success, organizational outcomes, and included vascular access service models. A literature review identified that nurse-led vascular access team models achieve high insertion success rates, low complication rates, shorter waiting times, and improved clinical workflow efficiency. Comparative studies reported outcomes comparable to, or better than, traditional physician-led insertion models. The use of intracavitary electrocardiography improved bedside catheter tip confirmation accuracy, reduced reliance on fluoroscopy and chest radiography, shortened procedure times, and lowered healthcare costs. Evidence suggests that multidisciplinary vascular access team supported by modern technologies such as intracavitary electrocardiography represent an effective and progressive model of peripherally inserted central catheters service delivery. Procedural quality depends mainly on training, competency, experience, and adherence to standardized protocols rather than professional background alone. Further multicentre prospective studies are needed to evaluate long-term clinical and economic outcomes. peripherally inserted central catheter nurse-led physician-led vascular access team vascular access device true false true Angleški jezik Ni določen Znanstveno delo 2026-08-18 14:06:19 2026-08-18 14:06:21 2026-08-20 03:32:13 0000-00-00 00:00:00 2026 0 0 Str. 45-52 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 10.55295/PSL.14.2026.II8 288088579 284734467 8++Mahmutović+Alen.pdf 8++Mahmutović+Alen.pdf 1 4842551584EE9637E938ACF40A14D439 fd7ae0c0e7403adbde8288652fffaaaeb96977ebbbdc93a6ddf1e8b6fe5f6bba 147c7b95-9afd-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=244521 https://ebooks.uni-lj.si/ZalozbaUL/catalog/book/944/chapter/4854 1 d86b336e-9afc-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=244520 Zdravstvena fakulteta 0 0 0