决定成功的因素和用于在紧急情况下确保静脉输入的材料的成本:一项前性观察性研究
Aditya Vadgaonkar1, Nikit Kothale1, Prakash Patil2
1Seth GS Medical College & KEM Hospital, Acharya Donde Marg, Parel, Mumbai 400012, India.
确保静脉注射 (IV) 接入往往需要多次尝试,增加成本和患者不满. 老年和不可触摸的静脉与失败的IV插入的更高风险有关.
科学领域:
- 紧急医疗 紧急医疗
- 临床程序 临床程序
- 卫生经济学 卫生经济学
背景情况:
- 确保外围静脉注射 (IV) 导管通道的多次尝试是常见的.
- 失败的IV接入导致患者不满和医疗保健费用增加,因为浪费了资源.
研究的目的:
- 确定导致多次试图插入IV导管管道的因素.
- 估计因IV接入程序失败而造成的浪费材料的经济影响.
主要方法:
- 在急诊室进行了一项前性观察性研究.
- 观察卫生保健工作者插入外围输液导管,并记录患者的特征.
- 分析了尝试数量和相关成本.
主要成果:
- 平均每名患者需要1.74次尝试,在第一次尝试中只有56.28%的成功率.
- 年龄较大,导管口径较小 (20G) 和不可见/不可触摸的静脉是多次尝试的重要预测因素.
- 每名患者的平均材料成本为6.4美元,其中1.76美元归因于未成功尝试的丢弃导管.
结论:
- 确保IV接入经常需要多次尝试,几乎30%的材料成本被浪费了.
- 多次静脉注射尝试的危险因素包括老年患者的年龄和难以进入的静脉 (不可见,不可触摸).
- 针对这些因素的干预措施可以减少浪费并改善患者的体验.
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