The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is widely recognized as one of the principal leaders in developing and testing measures related to the quality and safety of health care.

The concept of effective use of performance measurement, thereby enhancing knowledge and encouraging the use of performance measurement to improve the quality of health care, dates back to 1910. Dr. Ernest Codman proposed a system for physicians and hospitals to track every patient treated to determine whether individual treatments were effective. If a treatment was not effective, an effort would be made to determine why, so that similar cases could be treated successfully in the future. Dr. Codman's "end results" system emphasized the important utility of outcomes measurement for performance improvement.

In other words, performance measurements of effective treatments, directly relate to the improvement of quality health care when the knowledge gained from measuring outcomes leads to changes in performance which in turn leads to improvements of the health care delivered. I.V. House was engineered for safety and to extend catheter dwell times. It provides an improvement to health care by prolonging the dwell times of peripheral IV catheters.

• More than 40% of all peripheral IVs in the hospitalized patient fail before 48 hours
• I.V. House protects peripheral IV sites (effective treatment).
• I.V. House prolongs the dwell times of peripheral IV sites in pediatrics to greater than 48 hours (performance measurement).

I.V. House provides an improvement to quality health care of peripheral IVs. The protection of the IV site, effective treatment, leads to a measured positive outcome of greater than 48-hour peripheral IV site dwell times.