静脉输液安全通路选择的管理方法与效果

摘要

目的:通过对静脉输液通路选择进行管理,降低输液相关并发症的发生,提高患者满意度.方法:建立静脉输液安全管理委员会,制定完善的输液管理制度,在全院范围内建立静脉输液传报网络体系,将输液相关并发症降至最低.结果:静脉炎发生率由24.0％降至2.1％(P＜0.005);静脉输液外渗发生率由20.0％降至7.3％ (P＜ 0.005).结论静脉输液安全通路选择的管理将输液的危险因素即选用错误途径给药控制在输液治疗活动前,降低了输液的风险,是值得推荐的有效办法.%Objective: To decrease the rate of complications and improve the satisfaction of patients by managing the safe intravenous infusion access. Methods: Set up intravenous infusion safety management committee, optimized management system, build intravenous infusion reporting system network in hospital-wide, and integrated the intravenous infusion safety into the overall nursing quality assessment system. Results: The incidence of phlebitis decreased from 24.0% to 2.1% (P<0.01); the incidence of venous leakage decreased from 20.0% to 7.3% (P<0.005). Conclusion: The management of safe intravenous infusion access can control the risk factors before implementation of the infusion and greatly reduce the risk of intravenous infusion.