Thực trạng tuân thủ thực hiện gói chăm sóc đường truyền tĩnh mạch ngoại biên tại Bệnh viện Đa khoa Quốc tế Vinmec Central Park năm 2024 và một số yếu tố liên quan

Peripheral intravenous catheters (PIVCs) are indispensable in modern healthcare, particularly in pediatric settings where they facilitate fluid administration, antibiotic delivery, and various critical procedures. Despite their widespread use, PIVCs are associated with a notable risk of complications, including infections, occlusions, and phlebitis, posing significant challenges to patient safety and quality of care. The implementation of PIVC care bundles has emerged as an evidence-based strategy to standardize practices, optimize vascular access, and effectively reduce the incidence of such complications. However, the consistent adherence to these bundles can vary across healthcare facilities. This study aims to describe the level of adherence to the PIVC care bundle and identify related factors within the Pediatric Department at Vinmec Central Park International General Hospital in 2024.

Healthcare professionals, nurses, hospital administrators, quality control managers, and researchers in pediatric care and infection prevention.

This descriptive cross-sectional study investigated the adherence to peripheral intravenous catheter (PIVC) care bundles and associated factors within the Pediatric Department of Vinmec Central Park International General Hospital from June to September 2024. Data were collected from 42 nurses, 444 PIVC insertions, and 2254 PIVC maintenance instances across 268 pediatric patients aged newborn to 16 years. The research employed direct observation and review of medical records to assess compliance with established protocols.

Key findings revealed that the overall adherence rate for PIVC insertion practices was 75.5%, with specific areas needing improvement, such as disinfection time (2.7% non-adherence) and medical record documentation (21.8% non-adherence). For PIVC maintenance practices, the adherence rate stood at 81.7%, noting deficiencies in connection port disinfection (8.5% non-adherence) and proper line flushing (18.3% non-adherence). Furthermore, 74.3% of pediatric patients received complication prevention care according to the standard PIVC bundle. An interesting finding was that full-time nurses demonstrated a significantly higher adherence rate for PIVC maintenance compared to their part-time counterparts, suggesting a potential impact of employment status on care quality.

The study concludes that while the level of adherence to the PIVC care bundle at Vinmec Central Park is relatively high, especially regarding fundamental steps like vein identification, skin disinfection, and sterile instrument use, critical areas such as disinfection time, documentation, connection port disinfection, and line flushing require targeted improvement. These findings underscore the importance of continuous quality improvement initiatives. The study recommends strengthening training programs, technical supervision, and record-keeping systems. Additionally, reviewing work assignment mechanisms and adjusting contract frameworks for part-time nurses are suggested to enhance care efficiency and improve compliance, ultimately contributing to better complication prevention and patient safety.