Related Experiment Videos
Guideline for i.v. infiltrations in pediatric patients
L A Montgomery1, K Hanrahan, K Kottman
1Children's and Women's Services, University of Iowa Hospitals and Clinics, Children's Hospital of Iowa, Iowa City, USA.
Insights
A new guideline for pediatric intravenous infiltration and extravasation was developed using the Iowa Model. This approach improved consistency in care, reduced adverse events, and offered potential cost savings for children.
Area of Science:
- Pediatric Nursing
- Clinical Practice Guidelines
- Patient Safety
Background:
- Intravenous (IV) infiltrations and extravasations pose risks to pediatric patients.
- A standardized approach is needed to manage and prevent these adverse events in children.
Purpose of the Study:
- To develop and implement an evidence-based intravenous infiltration/extravasation guideline for pediatric patients (0-18 years).
- To minimize adverse occurrences and improve patient outcomes through a multidisciplinary approach.
Main Methods:
- Utilized the Iowa Model for research utilization to develop the guideline.
- Incorporated a site appearance staging tool, decision algorithm, research-based antidotes, and standard of care.
- Implemented a multidisciplinary approach at a tertiary care center.
Main Results:
- Increased consistency in the use of guideline interventions and reporting of infiltration events.
- Observed a reduction in adverse patient outcomes.
- Identified potential cost savings associated with guideline implementation.
Conclusions:
- The developed guideline effectively improved the management of pediatric IV infiltrations/extravasations.
- The multidisciplinary approach and evidence-based interventions led to enhanced patient safety and care consistency.
- The guideline demonstrated potential for cost savings and improved clinical outcomes.
Abstract:
A large Midwestern tertiary care center used a multidisciplinary approach to develop an intravenous infiltration/extravasation guideline for pediatric patients, ages 0-18 years old, using the Iowa Model for research utilization. This infiltration clinical practice guideline included a site appearance staging tool, decision algorithm, research-based antidotes, and standard of care. The goal of the guideline was to prevent or minimize adverse occurrences for pediatric patients at risk for intravenous infiltrations. Quality assessment and improvement tracking suggested that there was an increased consistency in use of practice guideline interventions for and reporting of the infiltration event, a reduction in adverse patient outcomes and potential cost savings.