Implementation of Clinical Decision Support to Identify and Improve Treatment for Severe PIVIE

Area of Science:

• Pediatric healthcare innovation
• Clinical informatics
• Patient safety research

Background:

• Pediatric patients face significant risks from peripheral intravenous infiltration or extravasation (PIVIE).
• Existing PIVIE management strategies primarily rely on workflow bundles and evidence-based guidelines.
• Current approaches may not adequately address the timely identification and treatment of severe PIVIE events.

Purpose of the Study:

• To evaluate the effectiveness of Clinical Decision Support (CDS) in managing severe PIVIE in pediatric patients.
• To determine if an interruptive alert integrated into CDS can improve the initiation of vascular access team consults.
• To assess the impact of CDS on PIVIE identification and treatment processes.

Main Methods:

• Implementation of an interruptive alert system within a Clinical Decision Support platform.
• Monitoring the rate of vascular access team consults for PIVIE cases.
• Analyzing the impact of the alert on the identification and treatment of severe PIVIE events.

Main Results:

• The interruptive alert significantly increased the placement of vascular access team consults for PIVIE.
• CDS effectively supported the identification and treatment of severe PIVIE.
• The intervention demonstrated a positive impact on managing PIVIE in pediatric care.

Conclusions:

• Clinical Decision Support, particularly through interruptive alerts, is a valuable tool for managing severe PIVIE in pediatric patients.
• This approach enhances the timely involvement of specialized teams, potentially reducing patient harm and associated costs.
• Integrating CDS into clinical workflows can optimize patient safety and care delivery for intravenous access complications.