Quality Improvement Interventions for Peripheral Intravenous Catheter Nursing Practices: A Systematic Review.

Area of Science:

• Nursing
• Quality Improvement
• Patient Safety

Background:

• Peripheral intravenous catheters (PIVC) are essential for patient safety in nursing care.
• Effective PIVC insertion and management are critical nursing responsibilities.

Purpose of the Study:

• To systematically review quality improvement (QI) articles on nursing practices for PIVC insertion and management.
• To assess the quality and characteristics of QI interventions related to PIVCs.

Main Methods:

• A comprehensive literature search was conducted.
• Two independent reviewers appraised study quality using the Quality Improvement Minimum Quality Criteria Set (QI-MQCS).

Main Results:

• Twenty-seven studies were included in the review.
• Over half of the studies failed to meet QI-MQCS criteria for sustainability and spread.
• Interventions included ultrasound-guided PIVC placement, advanced dressing products, and bundled care approaches.
• Improvements in patient outcomes and nursing skills were noted.

Conclusions:

• Further research is required to establish detailed QI protocols for intervention sustainability and cost-effectiveness.
• Facilitating QI application across diverse hospital settings is essential for PIVC practice advancement.