ABSTRACT 214

Abstract

Background: Use quality control circle for the management of peripheral intravenous catheter which can improve the quality of nursing, and then provide the infants safety an comfort. Objective: To explore the effect of quality control circles (QCC) on reducing unplanned extubation rate of peripheral intravenous catheter Methods: Select our department as the research unit.Quality control tools were employed to analyze the unplanned ex-tubation rate in peripheral intravenous catheter and to provide solutions to improve. We use the quality control tools (Platon) to carry out the status quo analysis before the quality control circles (QCC). 346 cases with intravenous catheters before the activities enrolled for the control group, whereas 350 cases with intravenous catheters after the activities made up the experimental group, comparing the unplanned extubation rate of peripheral intravenous catheter between the two groups, and analyzing the tangible and intangible achievements of QCC. Results: The tangible achievements were reflected as follows: The incidences of Infusion leakage?infusion line jam?unolanned ex-tubation were (69 ± 7.7)%, (8.6 ± 2.6)%, (73.7 ± 30.8)%, perspectively, the extension of the indwelling time for each needle was 22.67 hours, all of which were dramatically reduced by comparing with the control group. The intangible achievements were reflected as follows:QCC members showed significantly increasements in the competence in solving problems responsibility, communication skills, self-confidence, team cohesion, enthusiasm,and the ability to use QCC method(P<0.05),of which the self-confidence, team cohesion,and the ability to use QCC method did obviously improved. Conclusions: QCC did work as an effective tool to reduce the unplanned extubation rate of peripheral intravenous catheter.