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首页> 外文期刊>Indian Journal of Critical Care Medicine >Quality Improvement Initiative to Reduce Intravenous Line-related Infiltration and Phlebitis Incidence in Pediatric Emergency Room
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Quality Improvement Initiative to Reduce Intravenous Line-related Infiltration and Phlebitis Incidence in Pediatric Emergency Room

机译：质量改进倡议降低静脉内相关渗透和静脉炎在儿科急诊室的发病率

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Aim and objective:To reduce the incidence of infiltration and phlebitis by 50% over 2 months among children admitted to the emergency room (ER) of a tertiary care hospital.Materials and methods:The study was conducted in the pediatric ER of a tertiary care hospital in North India. All children aged 28 days, receiving intravenous (IV) medication and/or fluids, were enrolled between June (2017) and September (2017). Existing practices of IV line insertion and maintenance were observed and recorded. The visual infusion phlebitis score and infiltration assessment scale were to grade the extent of two. The intervention classified as "IV line insertion and maintenance bundle" included the introduction of low-cost mobile sterile compartment trays, audit and feedback, organizational change, introduction of infection control nurse and quality improvement (QI) team formations were implement in different Plan-Do-Study-Act (PDSA) cycles. Reduction in the "incidence of phlebitis and infiltration" was outcome measures while "scores on checklist of IV line insertion and IV line maintenance and administration of drugs" were process measures.Result:The process measures, for IV line insertion, maintenance and administration of drugs through IV line, revealed an increase in scores on the checklist. There was a significant decrease in the incidence of infiltration and phlebitis from 82.9 and 96.1% to 45 and 55%, respectively, postimplementation of all PDSA cycles.Conclusion:Multifaceted QI IV line insertion and maintenance bundle reduced the incidence of infiltration and phlebitis. These interventions when integrated into daily work bundles along with continuous education and motivation help in sustaining the goal and attaining long-term success.How to cite this article:Singh N, Kalyan G, Kaur S, Jayashree M, Ghai S. Quality Improvement Initiative to Reduce Intravenous Line-related Infiltration and Phlebitis Incidence in Pediatric Emergency Room. Indian J Crit Care Med 2021;25(5):557-565.Copyright ? 2021; Jaypee Brothers Medical Publishers (P) Ltd.
机译：目的和目标：减少渗透和静脉炎的发生率，在录取第三节护理医院的急诊室（ER）的儿童中超过2个月的50％以上。材料和方法：该研究在三级护理的儿科ER进行医院在印度北部。所有儿童均为aged＆ 28天，接受静脉内（IV）药物和/或流体，于6月（2017年）和9月（2017年）之间注册。观察并记录现有的IV线插入和维护的实践。视觉输注痰炎得分和渗透评估规模为两大程度。归类为“IV线插入和维护捆绑包”的干预包括引入低成本的移动无菌隔室托盘，审计和反馈，组织变革，感染控制护士和质量改进（QI）团队形成的不同计划 - 做法 - 行动（PDSA）周期。降低“静脉炎的发生率和渗透”的结果措施，而“IV线插入和IV线维持和药物施用和给药的核查表”是过程措施。结果：用于IV线插入，维护和管理的过程措施通过IV线的药物，揭示了清单上得分的增加。渗透和静脉炎的发生率显着降低，分别从82.9和96.1％至45％和55％，所有PDSA循环的后期。结论：多方型齐氏线插入和维护束降低渗透和静脉炎的发生率。这些干预措施与日常工作捆绑在一起以及持续的教育和动机有助于维持目标并获得长期成功。如何引用本文：Singh N，Kalyan G，Kai，Jayashree M，Ghai S.质量改进倡议减少静脉注射相关的渗透和静脉炎在儿科急诊室的发病率。印度j crit care med 2021; 25（5）：557-565.Copyright？ 2021; Jaypee Brothers Medical Publishers（P）有限公司

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