Improving venous access by using a near-infrared vein-finder device and ultrasound skill building: a quality improvement project.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Hassan Bennakhi, Mohammad Alajmi, Mahmoud Baqer, Naser Qasem, Zafeer Ul Hassan Iqbal, Nihal Abosaif, Clare Philliskirk
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Abstract

Introduction: Venous access by venipuncture and cannulation is a crucial procedure in day-to-day patient care in clinical settings. Performing this procedure on difficult veins can be time-consuming and burdensome for healthcare providers and painful and uncomfortable for patients. This quality improvement project aimed to optimise venous access by using a near-infrared (NIR) vein-finder device and provide ultrasound practical skills training to facilitate venous access.

Methods: The first plan-do-study-act (PDSA) cycle introduced an NIR device to hospital wards after collecting baseline data on success rate, number of attempts, procedure duration and need for help or escalation. These data were submitted by ward staff voluntarily for any venipuncture or cannulation procedure, followed by data analyses and plans for a second cycle. The second PDSA cycle involved organising a practical training session for the use of an ultrasound device for venous access. Participants voluntarily used their newly acquired ultrasound skills for difficult veins after multiple failed attempts without a device and submitted a Google form with questions about the above-mentioned success indicators.

Results: In the first cycle, improvements were observed in all chosen quality indicators but were only statistically significant for the overall success rate (venipuncture and cannulations combined), the overall number of attempts and the overall duration of venous access procedures as well as for number of attempts and procedure duration for venipuncture individually. For the second PDSA cycle, after attending the ultrasound training session, participants reported an 80.95% overall success rate of venous access for difficult veins that were inaccessible before the ultrasound device was used. It also significantly reduced the number of attempts needed to get venous access when compared with attempts before using the ultrasound device.

Conclusions: Based on our findings, we recommend providing an NIR vein-finder device and ultrasound training to improve venous access in hospital settings and encourage further research to evaluate their effectiveness.

通过使用近红外静脉探测仪和超声技能建设改善静脉通路:一个质量改进项目。
简介:静脉穿刺和插管的静脉通路是临床环境中日常病人护理的关键程序。在困难的静脉上执行此程序对医疗保健提供者来说既耗时又繁重,对患者来说也很痛苦和不舒服。本质量改进项目旨在通过使用近红外(NIR)静脉探测仪优化静脉通道,并提供超声实用技能培训,以促进静脉通道。方法:第一个计划-实施-研究-行动(PDSA)周期在收集成功率、尝试次数、手术持续时间和需要帮助或升级的基线数据后,将NIR设备引入医院病房。这些数据由病房工作人员自愿提交,用于任何静脉穿刺或插管程序,随后进行数据分析和第二周期计划。第二个PDSA周期涉及组织使用超声设备进行静脉通路的实践培训课程。在没有设备的情况下多次尝试失败后,参与者自愿使用他们新获得的超声技术检查困难的静脉,并提交了一份谷歌表格,其中包含有关上述成功指标的问题。结果:在第一个周期中,所有选择的质量指标均有改善,但仅在总体成功率(静脉穿刺和插管联合)、静脉插管总次数和总持续时间以及静脉穿刺单独的尝试次数和持续时间方面具有统计学意义。对于第二个PDSA周期,在参加超声训练课程后,参与者报告在使用超声设备之前无法进入的困难静脉的静脉通道总体成功率为80.95%。与使用超声设备之前相比,它还显着减少了获得静脉通道所需的尝试次数。结论:基于我们的研究结果,我们建议提供近红外静脉探测仪和超声培训,以改善医院环境中的静脉通道,并鼓励进一步研究以评估其有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Open Quality
BMJ Open Quality Nursing-Leadership and Management
CiteScore
2.20
自引率
0.00%
发文量
226
审稿时长
20 weeks
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