Volume 12 Issue 10 October 2024 Hits: 810

Title: A Quality Improvement Approach to Reduce Peripheral Intravenous Catheter-Induced Thrombophlebitis: Improving Healthcare Outcomes in a Resource-Limited Setting

Author: Dr. Sandra Sony

 DOI: https://dx.doi.org/10.18535/jmscr/v12i10.02

Abstract

 

Background: Peripheral intravenous catheter (PIVC)-induced thrombophlebitis is a common complication that poses significant healthcare challenges, particularly in resource-limited settings where access to sterile equipment can be a challenge. This study aimed to enhance hand hygiene practices and improve the overall management of PIVCs in a secondary care hospital in southern India, with the goal of reducing the incidence of thrombophlebitis.

Methods: A quality improvement approach was adopted using a Plan-Do-Study-Act (PDSA) cycle to implement structured interventions. These interventions included staff training on hand hygiene, PIVC insertion techniques, and adherence monitoring. Data were collected through direct observations of clinical practice, along with pre-and post-intervention assessments. Paired t-tests were employed to evaluate the statistical significance of changes in compliance rates across the study period.

Results: Initial improvements in hand hygiene practices were noted, but compliance remained suboptimal throughout the study period.  Statistically, significant improvements were achieved in workspace preparation, PIVC insertion techniques, and skin disinfection protocols. The incidence of PIVC-induced thrombophlebitis decreased over time, indicating the potential benefits of the interventions in reducing infection rates.

Conclusion: While the implemented interventions successfully enhanced technical skills and procedural adherence, the persistence of low hand hygiene compliance highlights a critical area for further improvement. Continuous education, monitoring, and reinforcement of hand hygiene practices are essential to ensure sustainable improvements in PIVC management and overall patient outcomes.

Keywords: thrombophlebitis, peripheral intravenous catheter, hand hygiene, sterility, quality improvement, resource-limited settings

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