Quality Improvement Study Prevention of Phlebitis July 2019 to January 2021 in Himalayan Hospital, Dehradun

Abstract

The quality improvement project on prevention on phlebitis was undertaken with the purpose of reducing the incidence and also to improve the nursing practice and documentation. The preliminary assessment was done in July 2019 in which 14% of the sample had phlebitis of any degree. The documentation related to the prevention of phlebitis was also inadequate. The assessment of cannula site using VIP score was observed in 2.4% of the file only. The intervention for the prevention of phlebitis include training and sharing of informational materials. The training was given to ward in charges in two sessions and they trained the staff nurses in their respective areas. Informational materials shared include posters on phlebitis and VIP scoring. The monitoring of practice was also done in the clinical area. Periodic clinical audit was conducted to assess the point prevalence of phlebitis and nursing practice and documentation. The rate of phlebitis was reduced by 38% (8.7%) in two months and by 90% (1.4%) in Many 2020. The documentation rate was also found to be better in the periodic audit. The finding of the study concludes the effectiveness of periodic clinical audit and cost-effective interventions in improving the nursing practice for the prevention of phlebitis.