Abstract:

Objective To develop a risk management system for complications associated with peripheral venous indwelling needles and to evaluate its application effect in order to reduce the risk of related complications. Methods We designed a comprehensive risk management system for peripheral intravenous indwelling needle complications，integrating specialized evidence-based guidelines with clinical practice insights，including 5 modules: intelligent assessment and decision support，intelligent inspection reminders，educational modules，collaborative case management procedures, and a knowledge base. Patients admitted to the neurology and internal classification metabolism departments of a tertiary hospital in Jilin Province were conveniently selected as the research subjects. Patients were assigned to a control group（from May to July 2022，before the implementation of the system） and an experimental group（from September to December 2022，after the implementation of the system）. The incidence of complications, duration of indwelling needle，compliance rate of core indicators for nursing quality and number of nursing consultations were compared between the groups. Additionally，a self-administered questionnaire was used to assess clinical nurses’ evaluations of the system. Results A total of 189 patients were included in the experimental group and 177 patients in the control group. The incidence of complications associated with peripheral intravenous indwelling needles was lower than that in the control group. The duration of indwelling peripheral intravenous needles was longer than that in the control group. The quality compliance rate of peripheral venous indwelling needle care in the experimental group was higher than that in the control group，and the number of consultation cases in the experimental group was higher than that in the control group. Comparisons between the 2 groups showed statistically significant differences for all indicators（P<0.05）. The nurses’ recognition rates for the system’s user-friendliness，professional guidance，and patient benefit were 77.78%，81.74%，and 82.13%，respectively. Conclusion The application of a peripheral vein indwelling needle complication risk management system can reduce the incidence of complications，prolong the duration of indwelling，and improve nursing quality. Nurses have a high recognition of this system.

Key words: Catheters, Indwelling, Infusions, Intravenous, Complications, Risk Management, Nursing Informatics, Nursing Administration Research

摘要：

目的 开发外周静脉留置针并发症风险管理系统并评价其应用效果，以降低相关并发症发生风险。 方法 基于相关指南及专家共识，结合临床实践经验开发外周静脉留置针并发症风险管理系统，包括智能评估及决策提醒、巡视提醒、智慧宣教、团队协作、知识库5个模块。便利选取吉林省某三级甲等综合医院神经内科、内分泌代谢科收治的患者作为研究对象，将2022年9月—12月系统应用后收治的患者作为试验组，将2022年5月—7月系统应用前收治的患者作为对照组。比较两组外周静脉留置针并发症发生率、留置时长、护理质量达标率、护理会诊例数，并采用自制问卷调查护士对系统的认可率。结果 试验组纳入189例患者，对照组纳入177例。试验组外周静脉留置针并发症发生率低于对照组，试验组外周静脉留置针留置时长长于对照组，试验组外周静脉留置针护理质量达标率高于对照组，试验组护理会诊例数多于对照组，两组比较，差异均具有统计学意义（P<0.05）。护士对系统友好性、专业指导性、患者获益性的认可率分别为77.78%、81.74%、82.13%。结论 应用外周静脉留置针并发症风险管理系统，可降低并发症发生率、延长留置时长、提高护理质量，护士对该系统的认可度较高。

关键词: 导管, 留置, 输注, 静脉内, 并发症, 风险管理, 护理信息学, 护理管理研究