Application of Quality Control Circle in Improving the Success Rate of Indwelling Needles in Patients

Abstract

Objective: This study aims to assess the effectiveness of quality control circles (QCCs) in improving the success rate of intravenous indwelling needles among patients. Methods: The study included 1136 patients, that were admitted to the kidney and thoracic surgery wards of the First Affiliated Hospital of Jinan University from June 2019 to December 2019. The patients were using an indwelling needle each. They were divided into two groups: 1) control group (n = 232), where patients received regular nursing interventions; 2) intervention group (n = 904), where patients received QCC nursing intervention. Result: The fishbone diagram analysis revealed that poor training, lack of indwelling needle-related evaluation sheet, and lack of dynamic assessments were the factors that contributed to indwelling failure. In addition, the average indwelling duration of the intervention group was significantly higher than that of the control group. The success rate of indwelling needles in the intervention group (67.8%) was also significantly higher than that of the control group (48.3%), where p < 0.05. Furthermore, the intervention group (seepage = 19.9%; phlebitis = 6.7%) reported a significantly lower prevalence of the main factors of indwelling needle failure than the control group (seepage = 34.5%; phlebitis = 8.6%), where p < 0.05. Conclusion: The implementation of QCC can effectively reduce the occurrence of complications and nursing risks as well as improve the success rate of intravenous indwelling needles among patients.