Wang Yingwen, Kong Meijing, Ge Youhong
Hematology Oncology Division, Children's Hospital of Fudan University, Shanghai, China.
JBI Database System Rev Implement Rep. 2016 Dec;14(12):258-265. doi: 10.11124/JBISRIR-2016-003221.
Extravasation in a pediatric patient can cause a serious adverse event, but many nurses have insufficient experience to deal with it during intravenous administration. Our division implemented a best practice project, which included extravasation kit instruction preparation, staff education and an update of institutional policy and procedures. The project focused on auditing the extent to which the protocol was implemented and promoting its implementation.
The objective of the project was to establish an evidence-based policy and procedure for extravasation management, improve knowledge regarding best practice of extravasation management among staff and formalize the documentation template for extravasation events.
The Joanna Briggs Institute's Practical Application of Clinical Evidence System and Getting Research into Practice were used to examine compliance with criteria based on the best available evidence before and after the implementation of strategies to promote the use of the evidence-based practice protocol.
Four criteria showed a noticeable improvement in compliance: increased use of extravasation kit (0-100%), updated policies and procedure (0-94%), staff education (19-94%) and documented outcomes (13-88%).
The project successfully established effective strategies for establishing an extravasation kit instruction sheet, updating policies and procedures, continuous staff education and nursing documentation to ensure best practice and improve patient outcomes.
儿科患者发生药物外渗可导致严重不良事件，但许多护士在静脉给药过程中处理药物外渗的经验不足。我们科室实施了一个最佳实践项目，包括准备药物外渗处理包说明书、开展员工教育以及更新机构政策和程序。该项目重点在于审核方案的实施程度并促进其实施。
该项目的目的是建立基于证据的药物外渗管理政策和程序，提高员工对药物外渗管理最佳实践的认识，并规范药物外渗事件的记录模板。
采用乔安娜·布里格斯循证卫生保健中心的临床证据系统实用应用工具和将研究成果转化为实践工具，在实施促进循证实践方案使用的策略前后，检查对基于最佳现有证据的标准的依从性。
四个标准在依从性方面有显著改善：药物外渗处理包使用增加（从0至100%）、政策和程序更新（从0至94%）、员工教育（从19%至94%）以及结果记录（从13%至88%）。
该项目成功建立了有效的策略，用于制定药物外渗处理包说明书、更新政策和程序、持续开展员工教育以及进行护理记录，以确保最佳实践并改善患者结局。
