As healthcare institutions become ever more complex and our focus on patient experience expands, nurses are leading and participating in research studies , evidence-based practice EBP projects, and quality improvement QI initiatives with a goal of improving patient outcomes. Research, EBP, and QI have subtle differences and frequent overlap , which can make it a challenge for nurses to identify the best option to investigating a clinical problem. The first step is a comprehensive review of the literature with a medical librarian. This informs about the problem, what evidence has been reported, and what gaps exist in our knowledge of the problem. Then, synthesize the relevant literature and decide how best to proceed based on the outcome of the literature review, experience with previous projects, available resources, and staff time and effort. The purpose of QI projects is to correct workflow processes, improve efficiencies, reduce variations in care, and address clinical administrative or educational problems.
Extravasation (intravenous) - Wikipedia
Objective: Vasopressor medications have traditionally been administered via central venous catheters CVCs , primarily due to concerns of peripheral extravasation of vasoconstrictive medications. Recent studies have suggested that vasopressor administration via peripheral intravenous catheters PiVCs may be a feasible and safe alternative. This systematic review evaluates the safety of delivering vasopressor medications via PiVCs. Methods: We performed a systematic review to assess the frequency of complications associated with the delivery of vasopressors via PiVCs.
How to write a literature review
Metrics details. A Letter to this article was published on 20 June Indications for intra-osseous IO infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. However, this route is rarely used nowadays due to a lack of knowlegde and training. We reviewed the current evidence for its use in adults requiring resuscitative procedures, the contraindications of the technique, and modalities for catheter implementation and skill acquisition.
Objective: Extravasation is a potential complication associated with intravenous therapy administration. Inadvertent leakage of medications with vesicant properties can cause severe tissue necrosis, which can lead to devastating long-term consequences. Recognizing potential agents is an essential step in mitigating the risk of extravasation. Data source: A literature search was carried out using PubMed with the following key words: extravasation, soft tissue injury, phlebitis, and infiltration, from January through January Study selection and data extraction: The publications were screened manually and reviewed to identify reports for medications that included synonyms of the International Nonproprietary Name, while excluding antineoplastic agents, radiographic contrast material, investigational or nonmarketed drugs, and animal data, to yield 70 articles.