Enhancing IV Cannulation Documentation in a Resource-Limited Setting: A Quality Improvement Project From Dongola Specialized Hospital.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Babiker Husameldin Ali, Fakher Aldeen Noman Fakher Aldeen Raft, Mahde Noha Salaheldeen Taha, Aly Amr Elbanna Mohammed, Salih Shamat Fathi Shamat, Mustafa Osman Ali Osman, Jirde Ilhan Said, Mohamedalnour Areej Ahmed Ali, Mohammed Ali Mohammed Ali, Alhessen Saidahmed Ryan Osman, Mohamed Elbashir Noam Mohamed Ahmed, Othman Reem Sayfuldeen Hassan, Ibrahim Marwan Abuelgasim Hamad, Abdelkareem Doha Abdelbage Suliman, Idris Ahmed Adam Mohamedali, Ahmed Shima, Mohammed Amna Hamdelneel Ahmed, Alata Tsabih Emadeldin Hasbelrasoul, Elamin Osman Alaa Mohamed, Alzain Adam Mohammad
Аннотация
OBJECTIVE: This quality improvement project aimed to evaluate and enhance the completeness of IV cannula documentation at Dongola Specialized Hospital through the introduction of a standardized documentation sticker and focused staff training.
METHODS: A prospective two-cycle audit was conducted between June and September 2025 using the Plan-Do-Study-Act framework. Fifty inpatient records were reviewed in each cycle from the Internal Medicine Department. Documentation was assessed against international standards for IV cannulation, including patient identifiers, insertion details, aseptic technique, site monitoring, and removal data. A structured IV cannula sticker and brief educational sessions were introduced between cycles. Data were analyzed using the chi-square test, with a significance level of p < 0.05.
RESULTS: Baseline compliance was poor, with most parameters documented in ≤2% of records. Following the intervention, substantial improvement was observed across all fields: cannula gauge (2%→100%), indication (2%→96%), aseptic technique (2%→86%), and inserter's name (2%→92%) (p < 0.001 for all). The documentation of removal details and Visual Infusion Phlebitis (VIP) scoring also improved markedly (p < 0.001).
CONCLUSION: The introduction of a structured, low-cost documentation sticker, reinforced by staff education, resulted in significant improvement in IV cannula documentation quality. This simple and sustainable intervention can strengthen patient safety and procedural accountability in resource-limited hospital settings.