Table 2

Measures of PICC appropriateness before versus after implementation of MAGIC

Intervention site (n, %)Control sites (n, %)Interaction P*
PreimplementationPostimplementationP*PreimplementationPostimplementationP*
Appropriateness Before versus After Implementation of MAGIC
MAGIC appropriateness measure
PICC placement ≤5 days127 (24.6)60 (13.5)<0.001759 (21.5)703 (22.8)<0.0010.031
Multilumen PICC use462 (89.5)277 (62.1)<0.0012366 (67.3)1955 (63.5)<0.001<0.001
ICU PICC placement ≤14 days167 (32.3)83 (18.6)0.003678 (19.2)600 (19.5)0.004<0.001
Complications Before versus After Implementation of MAGIC
PICC - Compilation
Catheter occlusion147 (28.4)98 (22.0)0.011546 (15.5)449 (14.6)0.6250.056
CLABSI10 (1.9)14 (3.1)0.424156 (4.4)126 (4.0)0.9770.558
VTE26 (5.0)18 (4.0)0.868175 (5.0)125 (4.1)0.8780.798
Any complication175 (33.9)119 (26.7)0.015790 (22.4)640 (20.8)0.7590.036
  • *Adjusted for patient age, gender, race, body mass index, Charlson Comorbidity Index and length of stay.

  • ICU, intensive care unit; MAGIC, Michigan Appropriateness Guide for Intravenous Catheters; PICC, peripherally inserted central catheter; CLABSI, central line-associated bloodstream infection; MAGIC, Michigan Appropriateness Guide for Intravenous Catheters; PICC, peripherally inserted central catheter; VTE, venous thromboembolism.