儿童输液静疗质量横断面调研数据及结果分析

目的 基于儿童专科医院静疗质量横断面调研数据及结果 分析,了解医院静疗质量现状和尚存在的问题,以制定IV Team工作目标及计划,为静疗质量持续改进提供依据.方法 组织全院具备监督检查能力的静疗小组成员24人,由省静疗专科护士组织专场培训,调研标准以江苏省《静脉治疗护理技术操作规范》为依据,调研重点包括输液工具的选择、...

Cross-sectional Survey Data and Results Analysis of Children's Infusion Hydrotherapy Quality

Objective Based on cross-sectional survey data and results analysis of children's specialist hospitals'quality of static therapy,to understand the current status and existing problems of the quality of static therapy in hospitals,in order to formulate the work goals and plans of the IV Team,and provide a basis for continuous improvement of the quality of static therapy.Methods Twenty-four members of the static therapy team with supervision and inspection capabilities were organized in the hospital.Specialized training was organized by the provincial specialists of static therapy.The research criteria were based on the Jiangsu Province'sTechnical Practice of Intravenous Therapy Nursing Technology.The research focuses on the selection of infusion tools and puncture site,catheter fixation and maintenance,dressing fixation and maintenance,connection method,complications.On January 21,2019,outpatient and infusion samples were collected,and through the census,a picture of the condition of the catheter was taken and the status of intravenous infusion was analyzed.Results 49.0%of the outpatient infusion tools used steel needles in this hospital-wide survey sample.Peripheral indwelling needles accounted for 85.1%of the infusion tools in the ward,followed by PICC of 9.2%and steel needles of 0.Among the puncture sites of peripheral indwelling needles,53.1%were dominated by the back of the hand,and 28.4%were punctured at the joints.Pediatric lower extremity punctures(>1 year old)accounted for 16.0%of total lower extremity punctures.Catheter maintenance problems occurred at a rate of 30.4%,with the highest incidence of blood return or old blood in the extension tube/joint(11.3%);the incidence of application fixation and maintenance problems was 50.7%,with the highest incidence of application was hemorrhage and exudate(28.3%);the incidence of infusion-related complications was 6.2%,and the highest incidence of redness at the puncture site(78.2%).Conclusion Although the technical operation of children's infusion intravenous therapy is becoming more and more standardized,through the analysis of data such as the choice of infusion tools,puncture site selection,catheter fixation and maintenance,dressing fixation and maintenance,and connection methods in this survey,although continuous quality improvement of intravenous therapy has achieved remarkable results,efforts need to be made to minimize the greater risks associated with pediatric infusions.