This article reports the use of the continuous quality improvement (CQI) process to improve patient outcomes. The FADE method (focus, analyze, develop, and execute) was used to focus on vascular access planning, analyze data concerning intravenous (IV) therapy, develop a vascular access planning algorithm, and execute implementation of the algorithm. An evaluation study revealed that patients whose vascular access planning was consistent with the algorithm reported fewer IVs, less difficulty starting IVs, and less stress; waited significantly less time until central venous line (CVL) placement (for those who received CVLs); and had significantly shorter lengths of stay.
Assistant Professor and Associate Dean for Practice (Barton)
Outcomes Manager (Danek)
Nutritional Support Clinician (Johns)
Outcomes Manager (Coons)
*University of Colorado Health Sciences Center, School of Nursing, Denver, Colorado.
†Shands at the University of Florida, Department of Nursing and Patient Services, Gainesville, Florida.
The authors wish to acknowledge the other members of the IV and Related Practices CQI Team: Larry Berman, MD; Tammy Briar, RN; Pam Cascanet, RN; Rhonda Compton, RN; Paula Davis, RN; Rob Kilroy, PharmD; Wanda Liddell, MSN, RN; George Magee, RN; Michelle Perkins, RN; SueEllen Pinkerton, PhD, RN; Pam Ritter, RN; Susan Sullivan, RN; and Kay Zarobsky, RN. The authors also acknowledge the assistance of Paul S. Kubilis, Statistical Research Coordinator at the University of Florida Health Sciences Center. This project was funded in part by the Shands Clinical Resource Management Small Grants Program.