Quality Improvement Project to Reduce Infiltration and Extravasation Events in a Pediatric Hospital

A safety event response team at Cincinnati Children's Hospital Medical Center developed and tested improvement strategies to reduce peripheral intravenous (PIV) infiltration and extravasation injuries. Improvement activities included development of the touch–look–compare method for hourly PIV s...

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Bibliographic Details
Published in:Journal of pediatric nursing 2012-12, Vol.27 (6), p.682-689
Main Authors: Tofani, Barbara F., Rineair, Sylvia A., Gosdin, Craig H., Pilcher, Patricia M., McGee, Susan, Varadarajan, Kartik R., Schoettker, Pamela J.
Format: Article
Language:English
Subjects:
Academic Medical Centers
Adolescent
Assessment
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - methods
Child
Child, Preschool
Children's hospitals
Childrens health
Clinical Competence
Compliance
Education, Professional - methods
Extravasation
Extravasation of Diagnostic and Therapeutic Materials - prevention & control
Female
Health Care Surveys
Hospitals
Hospitals, Pediatric
Humans
Infant
Infiltration
Infusions, Intravenous - adverse effects
Injuries
Male
Monitoring, Physiologic - methods
Monitoring, Physiologic - nursing
Nursing
Nursing Staff, Hospital - education
Paediatrics
Patient Care Team - organization & administration
Patient Safety
Pediatrics
Peripheral venous infusion injury
Physical Examination - methods
Quality Improvement
Quality of care
Risk Assessment
Safety
Teams
United States
Wounds and Injuries - etiology
Wounds and Injuries - prevention & control
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Description
Summary:A safety event response team at Cincinnati Children's Hospital Medical Center developed and tested improvement strategies to reduce peripheral intravenous (PIV) infiltration and extravasation injuries. Improvement activities included development of the touch–look–compare method for hourly PIV site assessment, staff education and mandatory demonstration of PIV site assessment, and performance monitoring and sharing of compliance results. We observed a significant reduction in the injury rate immediately following implementation of the interventions that corresponded with monitoring compliance in performing hourly assessments on patients with a PIV, but this was not sustained. The team is currently examining other strategies to reduce PIV injuries.
ISSN:0882-5963
1532-8449
DOI:10.1016/j.pedn.2012.01.005