Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2024; 12(20): 4130-4136
Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4130
Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion
Yan-Song Lv, Jv Xue, Zhu Meng, Qing Zhang, Xiao-Hong Liu
Yan-Song Lv, Jv Xue, Zhu Meng, Qing Zhang, Department of Pediatrics, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
Xiao-Hong Liu, Department of Obstertrics and Gynecology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
Author contributions: Lv YS and Zhang Q designed this research; Xue J and Meng Z performed this research; Lv YS and Liu XH analyzed the data; Lv YS and Zhang Q wrote the manuscript.
Institutional review board statement: This study was approved by the institutional review board of Beijing Shijitan Hospital.
Informed consent statement: Informed consent has been obtained from every participant.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Data sharing statement: The data are available from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing Zhang, BSc, Nurse, Department of Pediatrics, Beijing Shijitan Hospital, Capital Medical University, No. 10 Tieyi Road, Haidian District, Beijing 100038, China. luyansong0342@bjsjth.cn
Received: April 3, 2024
Revised: May 1, 2024
Accepted: May 23, 2024
Published online: July 16, 2024
Processing time: 88 Days and 15.6 Hours
Abstract
BACKGROUND

Intravenous infusion is a common method of drug administration in clinical practice. Errors in any aspect of the infusion process, from the verification of medical orders, preparation of the drug solution, to infusion by nursing staff, may cause adverse infusion events.

AIM

To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.

METHODS

The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management: 65 patients in the control group received conventional nursing and nursing management interventions, while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management. The occurrence of adverse events, compliance of children, satisfaction of children’s families, and complaints regarding the transfusion treatment were recorded in both groups.

RESULTS

The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08% and 1.54%, respectively, which were significantly lower than 12.31% and 13.85% in the control group (P < 0.05), while repeated punctures and medication addition errors in the observation group were 3.08% and 0.00%, respectively, which were lower than 9.23% and 3.08% in the control group, but there was no significant difference (P > 0.05). The compliance rate of children in the observation group was 98.46% (64/65), which was significantly higher than 87.69% (57/65) in the control group, and the satisfaction rate of children’s families was 96.92% (63/65), which was significantly higher than 86.15% (56/65) in the control group (P < 0.05). The observation group did not receive any complaints from the child’s family, whereas the control group received four complaints, two of which were due to the crying of the child caused by repeated punctures, one due to the poor attitude of the nurse, and one due to medication addition errors, with a cumulative complaint rate of 6.15%. The cumulative complaint rate of the observation group was significantly lower than that of the control group (P < 0.05).

CONCLUSION

Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients, improve children’s compliance and satisfaction of their families, and reduce family complaints.

Keywords: Improved nursing measures; Improved nursing management; Pediatric infusion; Adverse events; Compliance; Family complaints

Core Tip: This study analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion.Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients, improve children’s compliance and satisfaction of their families, and reduce family complaints.