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Global Academic Journal of Humanities and Social Sciences
Volume-7 | Issue-06
Original Research Article
Reduction of Peripheral Intravenous Catheter Complication among Cardiac Patients: A Quality Improvement Project
Ria Blas, Laila Mahmoud Hassan
Published : Dec. 16, 2025
DOI : https://doi.org/10.36348/gajhss.2025.v07i06.004
Abstract
Peripheral intravenous catheter complications accounted nearly fifty percent of its prevalence among hospitalized patients that lead to increase health care cost and safety dilemma. This occurrence is far more fatal among cardiac patients. Aim: This project was initiated aiming to address the increasing complications brought by peripheral intravenous catheters such as phlebitis, extravasation, infiltration, infection and thrombosis through early detection and timely intervention. Methods: The structured data driven effort-FOCUS-PDCA cycle (Plan-Do-Act-Check) was utilized initially in Critical Care unit and had been fully implemented in the entire Prince Sultan Cardiac Center Qassim health care facility. More so, VIP (Visual Inspection Phlebitis) score was used as an improvement project tool which was revised and adapted accordingly. Results and Discussion: The results revealed that from six months (June to December) of project implementation, 246 cardiac admissions in CCU were re-assessed using VIP form. Only 47 (19.10%) got intravenous complications, of which 39 (15.85%) got phlebitis mostly diabetic patients about 89 (36.17 %). Additionally, older patients of 50 years and above and male in gender had a higher tendency of having phlebitis. Stage 1 revealed 74.35% while chemical type revealed 53.19 %. Cardiac medications causing more occurrences were Amiodarone, Potassium Chloride, Esmolol and Actylase. Overall, it significantly addressed the problem in peripheral intravenous complication reducing from 28.26% to 2.43% recognizing the root cause. Conclusion: The findings generated concluded that utilizing VIP form to reduce the alarming peripheral intravenous complications was effective. Not only the early signs were staged and identified but as well treated promptly. The cardiac staff’s training, attitude and medication protocol must be given attention.

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