Related Experiment Videos
Implementing a clinical practice guideline to improve pediatric intravenous infiltration outcomes
Insights
Pediatric nursing developed evidence-based guidelines for intravenous infiltrations, improving patient care through better assessment, notification, and treatment compliance. Outcomes data show significant improvements in care delivery and adherence to protocols.
Area of Science:
- Clinical Nursing
- Pediatric Healthcare
- Evidence-Based Practice
Background:
- Clinical practice guidelines are essential for quality, efficiency, and cost containment in healthcare.
- Multidisciplinary collaboration is key to developing effective clinical guidelines.
- Pediatric nursing at University of Iowa Hospitals and Clinics aimed to improve intravenous infiltration management.
Purpose of the Study:
- To develop and implement multidisciplinary clinical practice guidelines for the prevention and treatment of intravenous infiltrations in pediatric patients.
- To standardize the approach to intravenous infiltration management based on research and expert opinion.
- To improve patient outcomes through enhanced intravenous site care.
Main Methods:
- Utilized the Iowa Model for guideline development over a 3-year collaborative period.
- Synthesized literature, created a quick reference sheet, developed infiltration staging guidelines, and an algorithm.
- Established a table of recommended antidotes and a standard of care.
Main Results:
- Demonstrated improvement in intravenous site assessment, including extent and volume estimation.
- Showcased enhanced physician notification and documentation of infiltration severity.
- Reported increased compliance with guideline use and recommended antidote administration.
Conclusions:
- The developed guidelines effectively improved the management of intravenous infiltrations in pediatric patients.
- Continuous outcome tracking and guideline revision are crucial for sustained quality improvement.
- Pediatric nursing leadership was instrumental in the successful implementation of these evidence-based guidelines.
Abstract:
The focus on quality, efficiency, and cost containment has spurred development of clinical practice guidelines to facilitate the use of research-based knowledge and expert opinion to promote desired outcomes. At the University of Iowa Hospitals and Clinics, pediatric nursing took a leadership role in developing multidisciplinary guidelines for the prevention and treatment of intravenous infiltrations in pediatric patients, following the Iowa Model. The 3-year collaborative effort has resulted in a synopsis of the literature; a quick reference sheet based on the latter; infiltration staging guidelines; an infiltration decision algorithm; a table of recommended antidotes; and a standard of care. Outcome data showed improvement in ongoing intravenous site assessment, extent of infiltration and estimated infiltration volume assessment, physician notification of infiltrations, documentation of severity, and compliance with use of the guidelines and use of antidotes. The guideline recently has been revised, and outcomes will continue to be tracked.