Effects of the whole process management pattern on the complication of PICC among cancer patients

Abstract

Objective To explore the effects of whole process management pattern on the complication of PICC among cancer patients. Methods From October 2012, we started to build up the whole process management pattern to plan, implement, check and cope with integration of 4 stages key element including environment, safety, quality and patient′s health for PICC patients, and it carried out in the whole hospital. We compared the number of PICC cases, success rate of first PICC insertion and incidence of complication between the time of January to October 2012 and the time of November 2012 to December 2013, and compared the patients′ satisfaction of nursing quality. Results After the whole process management pattern used, the total number of PICC climbed from 275 cases to 475 cases and the success rate of first PICC insertion increased from 94.9% to 98.9% with statistical difference (χ2=11.58, P<0.01). The incidences of complication declined, of which the rate of mechanical phlebitis was 1.8%, infection related catheter 2.1%, and all complications were lower than before the whole process management pattern used (χ2=5.99, 25.17, respectively; P<0.01). The patients′ satisfaction increased from 93.1% to 97.1% with statistical difference (χ2=6.53, P<0.05). Conclusions The whole process management pattern declines the complications of PICC among cancer patients, and promotes patients safety, releases clinical pressure and enhanced patients′ satisfaction and quality of specific nursing. Key words: Neoplasms; PICC; Complication; Whole process management