Ensuring the Right Patient, Right Time, Right Line

The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC)


The use of Peripherally Inserted Central Catheters (PICCs) has grown steadily since the 1980s as compared to other venous access devices.    Their popularity, in part, reflects safety during insertion, convenience by placement through vascular access teams, and versatility for multiple indications and transitioning from inpatient to home care. Despite these advantages, PICCs are also associated with risks including venous thromboembolism and catheter related bloodstream infection. This leads one to question if other venous devices might be more appropriate based upon available evidence.  To address these issues, a multidisciplinary panel of national and international experts met to generate guidance on when the use of a PICC may be appropriate in relation to other vascular access devices. From this panel, the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) was created to assist the bedside clinician to insert the correct catheter for the correct indication based upon available evidence.


This CE webinar will review the methods by which MAGIC was created and discuss early data of application to the hospital and home-infusion settings.


After viewing this video, please go to to take your post-test. Once successfully completed you may print out your certificate immediately.

Learning Objectives:

  1. At the conclusion of this presentation, the learner will be able to:
  2. Describe the RAND/UCLA Methodology for developing appropriateness criteria
  3. Summarize key findings from the MAGIC document
  4. Review how MAGIC has helped inform clinical practice and care in hospitalized patients

Vineet Chopra MD, MSc

Assistant Professor of Medicine and Research Scientist, University of Michigan and VA Ann Arbor Health System

Dr. Chopra is a hospitalist-investigator in the Department of Medicine at the University of Michigan Health System. A health-services trained researcher, Dr. Chopra’s research interest focuses on improving the safety of hospitalized patients and prevention of hospital-acquired complications. He is particularly interested in preventing complications related to vascular devices, including central venous catheters and peripherally inserted central catheters. Dr. Chopra’s research has been published in leading journals including JAMA, BMJ and the Annals of Internal Medicine. Dr. Chopra is an Assistant Professor of Medicine and Research Scientist at The Patient Safety Enhancement Program and Center for Clinical Management Research Ann Arbor VA Medical Center and the University of Michigan Health System Ann Arbor, Michigan

More Resources

For more information regarding MAGIC or to read more about the latest in research related to vascular access devices and PICCs, please visit:

Continuing Education for Physicians and Nurses


This educational activity is approved for 1 contact hour.  This activity is jointly provided by SynAptiv and Saxe Healthcare Communications.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of SynAptiv and Saxe Healthcare Communications. SynAptiv is accredited by the ACCME to provide continuing medical education for physicians. SynAptiv designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Provider approved by California Board of Nursing. Provider #14477  and the Florida Board of Nursing Provider # 50-17032

Support for this educational activity from Angiodynamics