Effectiveness of a multicomponent PDCA-based infusion safety management strategy in patients with pulmonary tuberculosis: a non-randomized historical-control study.
4 affiliations
- 1Department of Anesthesiology, The Fourth Hospital of Inner Mongolia Autonomous Region, Hohhot, China.
- 2Department of Intensive Care Unit, The Fourth Hospital of Inner Mongolia Autonomous Region, Hohhot, China.
- 3Department of Respiratory Medicine, The Fourth Hospital of Inner Mongolia Autonomous Region, Hohhot, China.
- 4Department of Nursing, Inner Mongolia Medical University, Hohhot, China.
Abstract
Objective
To evaluate the association between a multicomponent PDCA-based infusion safety management strategy and intraoperative peripheral intravenous (PIV) outcomes in adults with pulmonary tuberculosis.Methods
This non-randomized historical-control study included 92 adults undergoing thoracic surgery: 46 historical controls receiving routine infusion management and 46 patients receiving a multicomponent intervention integrating PDCA-based quality improvement, staff training, standardized protocols, interdepartmental collaboration, audit and feedback, and two auxiliary devices. Baseline demographic and surgical characteristics were comparable between groups.Results
Compared with historical controls, the intervention group had lower rates of erythema/tenderness [8.7% vs. 69.6%; RR, 0.13 (95% CI, 0.05-0.33)], catheter dislodgement [2.2% vs. 28.3%; RR, 0.08 (95% CI, 0.01-0.56)], and catheter occlusion [4.3% vs. 43.5%; RR, 0.10 (95% CI, 0.02-0.40); all P ≤ 0.001]. Catheter dwell time was longer [5.0 vs. 3.0 days; Hodges-Lehmann difference, +2.0 days (95% CI, 1.0-2.0)], whereas hospital stay was shorter [11.0 vs. 19.0 days; difference, -7.0 days (95% CI, -10.0 to -5.0)]. Satisfaction scores were also higher [95.0 vs. 91.5; difference, +3.0 points (95% CI, 2.0-4.0); all P < 0.001].Conclusion
The multicomponent PDCA-based strategy was associated with fewer PIV-related safety events, longer catheter dwell time, and higher satisfaction. However, because the intervention combined process changes with two devices and used a historical control, the observed differences cannot be attributed independently to PDCA or either device.
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BibTeX
@article{wang2026effectiveness,
title = {{Effectiveness of a multicomponent PDCA-based infusion safety management strategy in patients with pulmonary tuberculosis: a non-randomized historical-control study.}},
author = {Xiaoming Wang and Haiyan Fu and Zuohui Shu and Yaru Wang and Gege Ren and Yaru Li},
journal = {Frontiers in medicine},
year = {2026},
month = oct,
doi = {10.3389/fmed.2026.1899920},
url = {https://europepmc.org/article/MED/42903231},
note = {CC BY},
}
RIS
TY - JOUR
TI - Effectiveness of a multicomponent PDCA-based infusion safety management strategy in patients with pulmonary tuberculosis: a non-randomized historical-control study.
AU - Xiaoming Wang
AU - Haiyan Fu
AU - Zuohui Shu
AU - Yaru Wang
AU - Gege Ren
AU - Yaru Li
PY - 2026
DA - 2026/10/06
JO - Frontiers in medicine
DO - 10.3389/fmed.2026.1899920
UR - https://europepmc.org/article/MED/42903231
AB - Objective To evaluate the association between a multicomponent PDCA-based infusion safety management strategy and intraoperative peripheral intravenous (PIV) outcomes in adults with pulmonary tuberculosis.Methods This non-randomized historical-control study included 92 adults undergoing thoracic surgery: 46 historical controls receiving routine infusion management and 46 patients receiving a multicomponent intervention integrating PDCA-based quality improvement, staff training, standardized protocols, interdepartmental collaboration, audit and feedback, and two auxiliary devices. Baseline demographic and surgical characteristics were comparable between groups.Results Compared with historical controls, the intervention group had lower rates of erythema/tenderness [8.7% vs. 69.6%; RR, 0.13 (95% CI, 0.05-0.33)], catheter dislodgement [2.2% vs. 28.3%; RR, 0.08 (95% CI, 0.01-0.56)], and catheter occlusion [4.3% vs. 43.5%; RR, 0.10 (95% CI, 0.02-0.40); all P ≤ 0.001]. Catheter dwell time was longer [5.0 vs. 3.0 days; Hodges-Lehmann difference, +2.0 days (95% CI, 1.0-2.0)], whereas hospital stay was shorter [11.0 vs. 19.0 days; difference, -7.0 days (95% CI, -10.0 to -5.0)]. Satisfaction scores were also higher [95.0 vs. 91.5; difference, +3.0 points (95% CI, 2.0-4.0); all P < 0.001].Conclusion The multicomponent PDCA-based strategy was associated with fewer PIV-related safety events, longer catheter dwell time, and higher satisfaction. However, because the intervention combined process changes with two devices and used a historical control, the observed differences cannot be attributed independently to PDCA or either device.
SN - 2296-858X
ER -