Enhancing Peripheral Intravenous Line Complication from Insertion to Removal in Aster Sanad Hospital, Riyadh.

Abstract:

Background: Peripheral intravenous (IV) lines are among the most commonly performed clinical procedures, yet they remain associated with high complication rates, including thrombophlebitis, infiltration, infection, and patient dissatisfaction due to multiple insertion attempts. Aim: This quality improvement (QI) project aimed to reduce IV-related complications, increase first-attempt success rates, and enhance patient satisfaction at Aster Sanad Hospital, Riyadh. Methods: The project followed the FOCUS-PDCA framework. A multidisciplinary team reviewed current practices, identified root causes, and implemented targeted interventions including staff training, competency-based privileges, improved equipment, enhanced infection control (IC) adherence, and patient feedback mechanisms. Results: Post-intervention, first-attempt IV insertion success increased from 82% to 99% and benchmark is 95%, while complication rates (≥ Grade 2 thrombophlebitis) decreased to 0.112% with benchmark of <5%. Patient satisfaction rate related to IV insertions were improved and reach to 99%. Conclusion: Structured QI initiatives can significantly improve IV line safety, patient satisfaction, and clinical outcomes. Sustained monitoring and reinforcement of standards are essential for long-term success.