Baseline survey and quality improvement effect of practice standards for intravenous treatment in a Class Ⅲ Grade A children's Hospital in Hu'nan Province
10.3760/cma.j.issn.1674-2907.2018.28.027
- VernacularTitle:湖南省某三甲儿童医院基于静脉治疗实践标准的基线调查及质量改进效果观察
- Author:
Jianhui XIE
1
;
Lihui ZHU
;
Zhiguo LI
;
Fengliang DENG
;
Hua XIONG
;
Liang XIONG
;
Xin LIU
;
Chuanzhong DING
Author Information
1. 湖南省儿童医院护理部
- Keywords:
Hospitals,pediatric;
Intravenous treatment;
Baseline survey;
Standard guide;
Quality improvement
- From:
Chinese Journal of Modern Nursing
2018;24(28):3452-3456
- CountryChina
- Language:Chinese
-
Abstract:
Objective Baseline investigation was conducted on the current situation of intravenous infusion treatment in a Class Ⅲ Grade A children's hospital in Hu'nan Province, and the quality improvement was carried out according to the investigation results, and explored the quality improvement effect. Methods The baseline investigation on intravenous infusion treatment was conducted in a Class Ⅲ Grade A children's hospital in Hu'nan Province in September 2016. A total of 558 children from 18 clinical departments were selected as research subjects by random number table method. Quality improvement was carried out according to the survey results. A total of 1 088 cases of children undergoing intravenous treatment were investigated for the second round in September 2017. The infusion site, puncture tool, catheter fixation, catheter related complications, catheter maintenance and connection mode were compared before and after quality improvement. Results The selection of infusion sites before and after quality improvement meets the requirements. The usage rate of indwelling needle increased from 88.5% to 94.4%, and the usage rate of spiral joint increased from 56.6% to 73.8%. Both the differences were statistically significant (χ2=78.38, 50.0;P＜0.05). After quality improvement, the incidence of catheter missing was decreased from 92.5% to 82.5% when nurses performed catheter maintenance, with statistical significance (χ2=30.1,P＜0.05). Conclusions By practicing standards for clinical venous treatment, strengthening training, and carrying out process quality control, the quality of work for nursing staff in the selection of infusion tools and the control of complications of indwelling catheters has been significantly improved.
