Related Experiment Video
Updated: Jun 20, 2026
Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Improving blood gas analysis sample collection in pediatric emergency departments: a best practice implementation
Liemei Zeng1, Yufei Tan1, Yan Zhang1
1Emergency Department, Shenzhen Children's Hospital, Shenzhen, Guangdong, China.
Insights
Improving blood gas sample collection in pediatric emergency departments enhances patient care. Evidence-based practice interventions significantly boosted nurses
Area of Science:
- Pediatric Emergency Medicine
- Evidence-Based Practice Implementation
- Clinical Quality Improvement
Background:
- Critically ill children require rapid assessment in pediatric emergency departments.
- Blood gas analysis is crucial for diagnosing respiratory failure, electrolyte disturbances, and acid-base imbalances.
- Inaccurate blood gas sample collection can lead to delayed treatment.
Purpose of the Study:
- To enhance adherence to evidence-based practices for blood gas sample collection.
- To improve the quality of blood gas analysis in a pediatric emergency setting.
Main Methods:
- Utilized the JBI Evidence Implementation Framework, involving baseline audits, intervention implementation, and follow-up audits.
- Study conducted at Shenzhen Children's Hospital, China, from June to December 2023, involving 42 nurses and 300 patients.
- Identified compliance issues and barriers through baseline evaluations to inform targeted interventions.
Main Results:
- Initial audits showed suboptimal compliance with evidence-based practices, with only 3 of 12 criteria at 100% compliance.
- Key barriers identified included insufficient staff education, lack of accessible workflows, and low motivation for evidence-based practices.
- Post-intervention follow-up audits demonstrated substantial improvements in compliance across all assessed criteria.
Conclusions:
- Implementing evidence-based practices significantly improved nurses' compliance with blood gas sample collection protocols.
- The study underscores the importance of targeted interventions in enhancing pediatric patient care.
- Further research is recommended to explore sustainable methods for pain management and arterial catheterization blood collection.
Introduction:
Critically ill children in the pediatric emergency department require quick evaluation and decision-making. Blood gas analysis is a frequently conducted procedure and is used to assess respiratory failure, electrolyte disturbance, and acid-base imbalance, among others. However, inappropriate blood sample collection and processes can result in inaccurate blood gas analysis results and delay treatment.
Objective:
This project aimed to improve compliance with evidence-based practices for blood gas sample collection in a pediatric emergency department.
Methods:
Using the JBI Evidence Implementation Framework, this project involved three phases: baseline audits, intervention strategy implementation, and follow-up audits. Conducted at Shenzhen Children's Hospital in China, the study involved the participation of 42 nurses and 300 patients between June and December 2023. Baseline evaluations identified compliance issues and barriers, leading to targeted interventions.
Results:
The baseline audit revealed poor compliance with evidence-based practice. Out of 12 criteria, three criteria achieved 100% compliance and four criteria exceeded 80% compliance, while the other five criteria showed ≤60% compliance. The main barriers were insufficient staff education, lack of accessible workflows, and limited motivation for evidence-based practices. After implementing evidence-based practice interventions, a follow-up audit demonstrated significant improvements across all criteria.
Conclusions:
Enhancing evidence-based blood gas sample collection increased nurses' compliance and highlighted potential areas for improving pediatric patient care. Future studies should evaluate sustainable methods for pain management and arterial catheterization blood collections.
Spanish Abstract:
http://links.lww.com/IJEBH/A591.
More Related Videos
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
Related Concept Videos
01:26Blood Studies I: ABG and VBG
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG) studies are crucial for assessing the lungs' ability to supply oxygen and remove carbon dioxide, reflecting the patient's ventilation status. They also help understand the kidneys' capacity to reabsorb or...
01:26Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:23Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
01:20Sputum Studies II: Culture and Sensitivity
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...