Objective: To assess the influence of Quality improvement methods to improve the success rate of peripheral venous indwelling needle. Methods: 1613 patients were invested to join our study, they provided 2472 cases of peripheral venous indwelling needle. The time of they received services is from March 2019 to December 2019. They were divided into a control group (participant: n = 595, case: n = 1035) and an intervention group (participant: n =1018, case: n = 1437) according to this time, that patients were invested to join control group who receive services between March 2019 and June 2019, intervention group participants’ service time is between June 2019 and December 2019. The control group participants receive routine care model in the PIVC process. About collection, the information includes the success rate of PIVC, complications situation and indwelling time of PIVC. Result: The success rate of PIVC assessment from researcher’s report, they record the result of patient’s PIVC. Intervention group has higher success rate than that of control group (71.95% vs 49.57%). Most complications were happened in PIVC process. it shows the research result of mainly 4 kinds of complication in the table, the result contains seepage, blocking pipe, take off the tube and phlebitis. In overall, intervention group patients have less complications cases and lower incidence of complications in each kind of complication, except as phlebitis result (p = 0.369). Conclusion: the quality improvement methods can improve the success rate of PIVC and reduce the complications cases of PIVC.
| Published in | American Journal of Nursing Science (Volume 9, Issue 4) |
| DOI | 10.11648/j.ajns.20200904.12 |
| Page(s) | 190-192 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
PIVC, Quality Improvement, Peripheral Venous Indwelling Needle
| [1] | Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, et al. Useof short peripheral intravenous catheters: characteristics, management, and outcomes worldwide. J Hosp Med 2018; 13 (5). |
| [2] | Australian Institute of Health and Welfare. Australian hospital statistics 2017–2018. Canberra: AIHW; 2018. Available from: https://www.myhospitals.gov.au/hospital/310000011/princess-alexandra-hospital/emergency-department. |
| [3] | Carr PJ, Higgins NS, Cooke ML, Mihala G, Rickard CM. Vascular access specialist teams for device insertion and prevention of failure. Cochrane Database Syst Rev. 2018; 3: CD011429. |
| [4] | Hawkins T, Greenslade JH, Suna J, Williams J, Rickard CM, Jensen M, et al. Peripheral intravenous cannula insertion and use in the emergency department: an intervention study. Acad Emerg Med 2018; 25 (1): 26–32. |
| [5] | Fry M, Romero B, Berry A. Utility of peripheral intravenous cannulae inserted in one tertiary referral emergency department: a medical record audit. Australas Emerg Nurs J. 2016; 19 (1): 20–25. |
| [6] | Decker K, Ireland S, O’Sullivan L, Boucher S, Kite L, Rhodes D, et al. Peripheral intravenous catheter insertion in the emergency department. Australas Emerg Nurs J. 2015; 19: 138–144. |
| [7] | Marsh N, Webster J, Larson E, Cooke M, Mihala G, Rickard CM. Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: a multivariable analysis of peripheral intravenous catheter failure. J Hosp Med 2018; 13 (2): 83–89. |
| [8] | Mermel LA. Short-term peripheral venous catheter-related bloodstream infections: a systematic review. Clin Infect Dis 2017; 65 (10): 1757–1762. |
| [9] | Austin ED, Sullivan SB, Whittier S, Lowy FD, Uhlemann AC. Peripheral intravenous catheter placement is an underrecognized source of Staphylococcus aureus bloodstream infection. Open Forum Infect Dis. 2016; 3 (2): 72. |
| [10] | Stuart RL, Cameron DR, Scott C, Kotsanas D, Grayson ML, Korman TM, et al. Peripheral intravenous catheter-associated staphylococcus aureus bacteraemia: more than 5 years of prospective data from two tertiary health services. Med J Aust. 2013; 198 (10): 551–553. |
| [11] | Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Am J Infect Control. 2016; 44 (10): 167–172. |
| [12] | Donabedian A. Michigan, & Health Administration Press. The definition of quality and approaches to its assessment. Ann Arbor. 1980. |
| [13] | Ovretveit J. Blackwell. Health service quality: An introduction to quality methods for health services. Oxford. 1992. |
| [14] | Ali MM. A conceptual framework for quality of care. Materia Socio Medica. 2016; 24 (4): 251–326. |
| [15] | Leslie WH, et al. Quality and nursing: Moving from a concept to a core competency. Urologic Nursing. 2018; 28 (6): 417–426. |
| [16] | The Role of Nurses in Hospital Quality Improvement. Center for Studying Health System Change Research Brief No. 3. 2018. http://hschange.org/CONTENT/972/index.html. |
| [17] | Moureau N. In: Moureau N, editor. Vessel health and preservation: the right approach for vascular access. Basel, Switzerland: Springer Nature; 2019. |
| [18] | Gledstone-Brown L, McHugh D. Review article: Idle 'just-in-case' peripheral intravenous cannulas in the emergency department: is something wrong? Emerg Med Australas. 2018; 30 (3): 309–312. |
| [19] | Bitencourt ES, Leal CN, Boostel R, Mazza V, Felix JVC, Pedrolo E. Prevalence of phlebitis related to the use of peripheral intravenous devices in children. Cogitare Enferm. 2018; 23 (1): e49361. |
| [20] | Webster J, Osborne S, Rickard CM, New K. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database of Systematic Reviews. 2015: 8. |
APA Style
Yanhua Shi, Xiaolan Wang, Quan Jiang, Weirong Li, Huiling Liu, et al. (2020). Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle. American Journal of Nursing Science, 9(4), 190-192. https://doi.org/10.11648/j.ajns.20200904.12
ACS Style
Yanhua Shi; Xiaolan Wang; Quan Jiang; Weirong Li; Huiling Liu, et al. Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle. Am. J. Nurs. Sci. 2020, 9(4), 190-192. doi: 10.11648/j.ajns.20200904.12
AMA Style
Yanhua Shi, Xiaolan Wang, Quan Jiang, Weirong Li, Huiling Liu, et al. Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle. Am J Nurs Sci. 2020;9(4):190-192. doi: 10.11648/j.ajns.20200904.12
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Download@article{10.11648/j.ajns.20200904.12,
author = {Yanhua Shi and Xiaolan Wang and Quan Jiang and Weirong Li and Huiling Liu and Mengying Qi},
title = {Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle},
journal = {American Journal of Nursing Science},
volume = {9},
number = {4},
pages = {190-192},
doi = {10.11648/j.ajns.20200904.12},
url = {https://doi.org/10.11648/j.ajns.20200904.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200904.12},
abstract = {Objective: To assess the influence of Quality improvement methods to improve the success rate of peripheral venous indwelling needle. Methods: 1613 patients were invested to join our study, they provided 2472 cases of peripheral venous indwelling needle. The time of they received services is from March 2019 to December 2019. They were divided into a control group (participant: n = 595, case: n = 1035) and an intervention group (participant: n =1018, case: n = 1437) according to this time, that patients were invested to join control group who receive services between March 2019 and June 2019, intervention group participants’ service time is between June 2019 and December 2019. The control group participants receive routine care model in the PIVC process. About collection, the information includes the success rate of PIVC, complications situation and indwelling time of PIVC. Result: The success rate of PIVC assessment from researcher’s report, they record the result of patient’s PIVC. Intervention group has higher success rate than that of control group (71.95% vs 49.57%). Most complications were happened in PIVC process. it shows the research result of mainly 4 kinds of complication in the table, the result contains seepage, blocking pipe, take off the tube and phlebitis. In overall, intervention group patients have less complications cases and lower incidence of complications in each kind of complication, except as phlebitis result (p = 0.369). Conclusion: the quality improvement methods can improve the success rate of PIVC and reduce the complications cases of PIVC.},
year = {2020}
}
TY - JOUR T1 - Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle AU - Yanhua Shi AU - Xiaolan Wang AU - Quan Jiang AU - Weirong Li AU - Huiling Liu AU - Mengying Qi Y1 - 2020/06/03 PY - 2020 N1 - https://doi.org/10.11648/j.ajns.20200904.12 DO - 10.11648/j.ajns.20200904.12 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 190 EP - 192 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20200904.12 AB - Objective: To assess the influence of Quality improvement methods to improve the success rate of peripheral venous indwelling needle. Methods: 1613 patients were invested to join our study, they provided 2472 cases of peripheral venous indwelling needle. The time of they received services is from March 2019 to December 2019. They were divided into a control group (participant: n = 595, case: n = 1035) and an intervention group (participant: n =1018, case: n = 1437) according to this time, that patients were invested to join control group who receive services between March 2019 and June 2019, intervention group participants’ service time is between June 2019 and December 2019. The control group participants receive routine care model in the PIVC process. About collection, the information includes the success rate of PIVC, complications situation and indwelling time of PIVC. Result: The success rate of PIVC assessment from researcher’s report, they record the result of patient’s PIVC. Intervention group has higher success rate than that of control group (71.95% vs 49.57%). Most complications were happened in PIVC process. it shows the research result of mainly 4 kinds of complication in the table, the result contains seepage, blocking pipe, take off the tube and phlebitis. In overall, intervention group patients have less complications cases and lower incidence of complications in each kind of complication, except as phlebitis result (p = 0.369). Conclusion: the quality improvement methods can improve the success rate of PIVC and reduce the complications cases of PIVC. VL - 9 IS - 4 ER -
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