The impact of compliance on quality outcomes in the home infusion population

Home intravenous therapy is a standard form of treatment for many recipients of healthcare in the United States. The use of intravascular devices can, however, be complicated by a variety of local or systemic infectious complications. A study was undertaken to address the role that patient noncompliance with infusion protocols plays in the complication rate of those receiving infusion therapy in the home. This article examines the compliance of patients involved in the self-administration of home infusion products, their compliance with the protocols set forth by the home infusion provider, and the resultant infection rates. Home infusion patients at risk for infection should be prospectively monitored in a quality management program. On the basis of our findings, this program should be expanded to include surveillance for patient adherence to standards of treatment. Education and reinforcement of protocols, combined with a sound monitoring program, will decrease infection rates and improve patient outcomes.