Development and application of a risk management system for complications of peripheral intravenous indwelling needle
10.3761/j.issn.0254-1769.2025.08.002
- VernacularTitle:外周静脉留置针并发症风险管理系统的开发与应用
- Author:
Shan JIANG
1
;
Caixia GUO
;
Lihua GUO
;
Yuanyuan ZHAO
;
Meng XIAO
;
Yiling YANG
;
Chunyan WEI
;
Shuo LI
;
Dianyuan LIU
;
Zhili SHANG
Author Information
1. 130000 长春市 吉林大学中日联谊医院护理部
- Publication Type:Journal Article
- Keywords:
Catheters,Indwelling;
Infusions,Intravenous;
Complications;
Risk Management;
Nursing Infor-matics;
Nursing Administration Research
- From:
Chinese Journal of Nursing
2025;60(8):908-913
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a risk management system for complications associated with peripheral venous indwelling needles and to evaluate its application effect in order to reduce the risk of related complications.Methods We designed a comprehensive risk management system for peripheral intravenous indwelling needle complications,integrating specialized evidence-based guidelines with clinical practice insights,including 5 modules:intelligent assessment and decision support,intelligent inspection reminders,educational modules,collaborative case management procedures,and a knowledge base.Patients admitted to the neurology and internal classification metabolism departments of a tertiary hospital in Jilin Province were conveniently selected as the research subjects.Patients were assigned to a control group(from May to July 2022,before the implementation of the system)and an experimental group(from September to December 2022,after the implementation of the system).The incidence of complications,duration of indwelling needle,compliance rate of core indicators for nursing quality and number of nursing consultations were compared between the groups.Additionally,a self-administered questionnaire was used to assess clinical nurses'evaluations of the system.Results A total of 189 patients were included in the experimental group and 177 patients in the control group.The incidence of complications associated with peripheral intravenous indwelling needles was lower than that in the control group.The duration of indwelling peripheral intravenous needles was longer than that in the control group.The quality compliance rate of peripheral venous indwelling needle care in the experimental group was higher than that in the control group,and the number of consultation cases in the experimental group was higher than that in the control group.Comparisons between the 2 groups showed statistically significant differences for all indicators(P＜0.05).The nurses'recognition rates for the system's user-friendliness,professional guidance,and patient benefit were 77.78％,81.74％,and 82.13％,respectively.Conclusion The application of a peripheral vein indwelling needle complication risk management system can reduce the incidence of complications,prolong the duration of indwelling,and improve nursing quality.Nurses have a high recognition of this system.
