141 posters, 8 videos, 8 audios, 5 topics, 442 authors, 228 institutions
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6th World Congress on Vascular Access 2021
April 29 - 30, 2021 | Virtual
P094
Use of IV closed systems after quality program implementation in Valencian Community hospitals
Poster Presenter
Authors
S Casanova-Vivas, I García-Abad, E Hevilla-Cucarella, S Gomis-Baldoví, A Palau-Gomar, MJ Gil-Carbonell, B Valdelvira-Gimeno
Affiliations
Health Department GVA Valencia Spain, University of Valencia, Nursing Department/ Health Public Department GVA Valencia, Hospital General Universitario Elche. Health Department GVA Valencia Spain, Hospital La Ribera. Health Department GVA Valencia Spain, Hospital Francesc de Borja. Gandia. Health Department GVA Valencia Spain, Hospital Vinalopó. Health Department GVA Valencia Spain, H. Virgen de los Lírios. Alcoy. Health Department GVA Valencia Spain, University of Valencia, Nursing Department/ Health Public Directorate. Health Department GVA Valenci
Part of Topic
Prevention
Title: "Use of IV closed systems after quality program implementation in Valencian Community hospitals"
Introduction: Different clinical practice guidelines, based on scientific evidence, establish, among other recommendations, the use of IV closed systems as key components to reduce the incidence of bacteraemias related to vascular catheters.
Objectives: Identify the material resources that are being used for the maintenance of venous access, the degree of implementation of the use of closed systems and the evaluation and monitoring of the impact after the implementation of a quality program in our hospitals.
Method: 9 observational cross sections were made in 2019. Trained and approved professionals recorded the data. Hospitals were classified according to their category. Patients admitted> 14 years with vascular access were included. The materials used post-catheter, use of three-step keys, state of the lines, if the intravenous (IV) systems were opened / closed among many other variables were recorded. Percentages and frequencies were calculated. Proportions equality in the evolution of the cross-sections was contrasted using the Bonferroni method and the independence between Chi-square variables taking 0.05 and 95% confidence as a level of significance.
Results: 49,175 vascular accesses were obtained. Closed intravenous system was in the first cut of 3,305 (58.6%) while in the ninth cut were 5,114 (88.34%) accesses with closed system. There was a percentage increase in the use of safety bioconnectors from 43.46% in the first cut to 71.88% in the last cut, it was found that the three-step keys went from being used in the first cut in a 71.91% to 44.43% in the ninth cut. The presence of phlebitis was also reduced from 4.45% to 1.17%
Conclusions / discussion: The recommendations made by the quality program, based on scientific evidence on the most appropriate materials to be used in vascular accesses and the results obtained, have an impact on the improvement in the level of quality in vascular access care.