护士,医生和学员对外围输液导管的认识:一项前性队列研究
Tessa Adžemović1, Sushant Govindan2, Alexander Zheutlin3
1Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
American journal of infection control
|June 6, 2024
概括
临床人员对外围静脉导管 (PIV) 的认识有所不同,护士比医生更能识别PIV的存在. 需要改进方法,以确保适当的PIV护理和及时移除.
科学领域:
- 医疗保健质量 医疗保健质量
- 患者安全 患者安全
- 医疗器械 医疗器械 医疗器械
背景情况:
- 周围静脉注射导管 (PIV) 是医院常见的侵入性设备.
- PIV与并发症有关,但临床医生的意识不一致.
- 了解PIV意识对于患者护理至关重要.
研究的目的:
- 评估临床医生对PIV存在和位置的认识.
- 为了确定医疗保健提供者类型之间PIV意识的差异.
- 为改善PIV管理的战略提供信息.
主要方法:
- 未来的,多中心的,观察点流行率研究.
- 涉及4家医院的1,385名患者和4,003名提供者.
- 评估PIV存在和采访提供者,分析 χ2测试的数据.
主要成果:
- 护士表现出对PIV存在的最高意识 (98.6%).
- 医生意识率较低,出席率为88.1%.
- 与其他提供者相比,护士在识别PIV存在和位置方面明显更好.
结论:
- 尽管整体PIV使用量很高,但意识差距仍然存在.
- 需要有针对性的干预措施来提高临床医生的PIV意识.
- 提高意识可以导致更好的PIV护理和移除实践.
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