| Implementation of a protocol for the prevention and management of extravasation injuries in the neonatal intensive care patient. | |
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MedLine Citation:
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PMID: 21599845 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Aim This project sought to determine nurses' understanding and management of infants with intravenous (IV) therapy. There were three specific aims: • To improve identification and management of extravasation injuries in neonates • To ensure management of extravasation injuries in neonates is classified according to IV extravasation staging guidelines • To develop a protocol that outlined actions required to manage extravasation injuries Methods This project utilised a pre- and post-implementation audit strategy using the Joanna Briggs Institute (JBI) Getting Research into Practice (GRIP) program. This method has been used to improve clinical practice by utilising an audit, feedback and re-audit sequence. The project was implemented in four stages over a 7-month period from 21 October 2009 to 30 May 2010. Results Initially, there was poor compliance with all four criteria, ranging from zero to 63%. The GRIP phase of the project identified five barriers which were addressed throughout this project. These related to education of staff and the development of a protocol for the prevention and management of extravasation injuries in the neonatal population. Following implementation of best practice, the second audit showed a marked improvement in all four criteria, ranging from 70 to 100% compliance. Conclusions Overall, this project has led to improvements in clinical practice in line with current evidence. This has resulted in enhanced awareness of the risks associated with IV therapy and of measures to prevent an injury occurring within this clinical setting. |
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Authors:
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Diane Warren |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of evidence-based healthcare Volume: 9 ISSN: 1744-1609 ISO Abbreviation: Int J Evid Based Healthc Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101247063 Medline TA: Int J Evid Based Healthc Country: Australia |
Other Details:
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Languages: eng Pagination: 165-71 Citation Subset: IM |
Copyright Information:
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© 2011 The Author. International Journal of Evidence-Based Healthcare © 2011 The Joanna Briggs Institute. |
Affiliation:
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Auckland City Hospital, Auckland, New Zealand. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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