Implementation of Clinical Decision Support to Identify and Improve Treatment for Severe PIVIE

Stud Health Technol Inform. 2024 Jul 24:315:58-63. doi: 10.3233/SHTI240106.

Abstract

Pediatric patients are at high risk of peripheral intravenous infiltration or extravasation (PIVIE) leading to injury and increased costs. Most of the work in addressing PIVIE has focused on the implementation of workflow bundles and evidenced based guidelines. This project showed that Clinical Decision Support can be used to help support identification and treatment of Severe PIVIE through use of an interruptive alert that increases placement of vascular access team consults.

Keywords: clinical decision support systems; pediatrics; peripheral intravenous infiltration/extravasation (PIVIE); quality improvement; vascular access.

MeSH terms

  • Catheterization, Peripheral
  • Child
  • Decision Support Systems, Clinical*
  • Humans