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Reducing the prevalence of catheter-related infections by quality improvement: Six-year follow-up study
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum Academy for Healthcare, Jönköping, Sweden.
Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden.
Futurum Academy for Healthcare, Jönköping, Sweden.
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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
Abstract [en]

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.
Keyword [en]
Bloodstream Infection, Peripheral Venous Catheter, Quality Improvement, Thrombophlebitis
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-34665DOI: 10.4236/ojn.2016.62008OAI: oai:DiVA.org:hj-34665DiVA: diva2:1063803
Available from: 2017-01-11 Created: 2017-01-11 Last updated: 2017-01-13Bibliographically approved

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Malm, DanRolander, BoNygårdh, Annette
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CiteExportLink to record
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Citation style
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