Reducing the prevalence of catheter-related infections by quality improvement: Six-year follow-up study
2016 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, no 2, 79-87 p.Article in journal (Refereed) Published
Background: Peripheral venous catheter (PVC) insertion is a crucial nursing action during life support. Several factors that increase the risk of thrombophlebitis associated with PVCs have been reported. Objective: We wish to evaluate the impact of a quality improvement regarding PVC treatment for patients with coronary heart diseases.
Method: A longitudinal, quantitative observational study was carried out in 2008 and 2013 in a hospital in southern Sweden with 360 consecutive patients suffering from acute chest pain. New routines for PVC treatment were included in the hospital with daily inspection according to a checklist. A structured observation protocol was used to survey the prevalence of thrombophlebitis between 2008 and 2013. Also, we examined the relationship between the location and luminal diameters of PVCs.
Results: The student’s t-test showed significant differences between 2008 and 2013 with respect to luminal diameter of PVCs (p = 0.002), prevalence of thrombophlebitis (p = 0.003) and number of days with PVC left in situ (p < 0.001).
Conclusion: These findings emphasize the value of using systematic daily inspections and checklists to achieve quality and safety in patients with acute chest pain having PVC-based treatment.
Place, publisher, year, edition, pages
2016. Vol. 6, no 2, 79-87 p.
Bloodstream Infection, Peripheral Venous Catheter, Quality Improvement, Thrombophlebitis
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:hj:diva-34665DOI: 10.4236/ojn.2016.62008OAI: oai:DiVA.org:hj-34665DiVA: diva2:1063803