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Eliminating extravasation events: a multidisciplinary approach.

Christine E Coyle1, Julie Griffie, Lynn M Czaplewski

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Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society
|April 4, 2014
PubMed
Summary

Chemotherapy extravasation, a serious safety issue causing tissue damage, was significantly reduced by a new clinical practice. This change minimized risks for cancer patients receiving vesicant agents.

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Area of Science:

  • Oncology Nursing
  • Patient Safety
  • Clinical Practice Improvement

Background:

  • Chemotherapy administration poses safety risks, notably extravasation of vesicant agents.
  • Extravasation leads to tissue blistering and necrosis, increasing patient suffering.
  • Nurses play a crucial role in patient education and adhering to standards to prevent extravasation.

Purpose of the Study:

  • To describe a clinical practice change aimed at reducing chemotherapy extravasation.
  • To define shared responsibilities for safe administration of vesicant drugs.
  • To report the impact of a new policy on peripheral vesicant administration.

Main Methods:

  • Implementation of a clinical practice and policy change at a midwestern academic medical cancer center.
  • Focus on shared team responsibilities for vesicant drug administration.
  • Shift in administration protocols for vesicant agents.

Main Results:

  • A 90% reduction in the peripheral administration of vesicant agents.
  • Zero occurrences of extravasation in the first six months post-implementation.
  • Demonstrated success in minimizing a critical chemotherapy complication.

Conclusions:

  • The implemented clinical practice change effectively reduced peripheral vesicant administration.
  • Shared responsibility models are critical for safe chemotherapy delivery.
  • This initiative significantly improved patient safety by preventing extravasation events.