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Related Experiment Videos

Developing a practical Hospital Intravenous Therapy Quality Assessment Tool: Design, refinement, and feasibility.

Huapeng Lu1, Qigui Xiao1, Fuhui Sui2

  • 1Department of Hepatobiliary and Pancreas Surgery, The First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, P. R. China.

The Journal of Vascular Access
|July 13, 2026
PubMed
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A new electronic tool, the Hospital Intravenous Therapy Quality Assessment Tool (HIT-QAT), was developed to improve patient safety during intravenous therapy. This practical tool is feasible for hospital-wide audits, enhancing quality monitoring.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Clinical Auditing

Background:

  • Intravenous therapy is a common but high-risk procedure associated with patient discomfort and potential complications.
  • Optimal management and quality monitoring of intravenous therapy are crucial for patient safety.
  • A gap exists in standardized, practical tools for hospital-wide intravenous therapy audits.

Purpose of the Study:

  • To develop and refine a practical, electronic quality assessment tool for hospital-wide intravenous therapy surveillance.
  • To evaluate the feasibility of this tool in clinical practice as Phase I of a larger project.

Main Methods:

  • A multidisciplinary team developed the Hospital Intravenous Therapy Quality Assessment Tool (HIT-QAT) based on standards.
  • The tool underwent 14 iterative refinement cycles involving pilot testing, auditor training, audits, and revisions.
Keywords:
Infusion therapyassessment toolclinical nurse specialistquality management

Related Experiment Videos

  • Feasibility was assessed through audit completion time, data completeness, and user acceptance.

    • Main Results:

    • The finalized HIT-QAT is an electronic, mobile-accessible survey with seven sections and automated skip logic.
    • Across 14 audits (2016-2023), 22,789 vascular access devices (VADs) were assessed.
    • Auditor training was standardized, completed with zero resistance, and audits were efficient.

    Conclusions:

    • The HIT-QAT is a feasible, practical, and efficient electronic tool for hospital-wide intravenous therapy quality assessment.
    • Phase I focused on tool design, refinement, and feasibility testing.
    • Future studies (Phase II) will use the tool for deficiency identification, outcome tracking, and quality improvement.