Testing the Effectiveness of a New Device to Prevent Medical Line Entanglement in Pediatric Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/304523
Category:
Full-text
Type:
Presentation
Title:
Testing the Effectiveness of a New Device to Prevent Medical Line Entanglement in Pediatric Patients
Author(s):
Janiszewski Goodin, Heather; Ryan-Wenger, Nancy A.; Creech, Pamela; Mullet, Joyce
Lead Author STTI Affiliation:
Epsilon
Author Details:
Heather Janiszewski Goodin, PhD, RN, hjanisze@capital.edu; Nancy Ryan-Wenger, PhD, RN, FAAN; Pamela Creech, BSN, RN, CPN; Joyce Mullet, RN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: Globally, unintentional injuries are the leading cause of death in children.1 In hospitalized children, unintentional injuries from medical line (ML) entanglements occur when lines become tangled, compressed, or looped around patients' necks or other body parts.2 The purpose of the study was to test the safety and effectiveness of a new medical device invented by a nurse called the ML Wrap, designed to prevent line entanglements in pediatric patients. The ML Wrap can be placed on intravenous lines, feeding tubes, oxygen tubes, and monitor cords to prevent patient harm such as strangulation, impaired circulation, tubing dislodgment, and misidentification of lines. The study was based on the Medical Line Safety Model that includes human, system, and medical line factors that contribute to level of harm from entanglements.2

Methods: A randomized, longitudinal, controlled design was used to measure the frequency and severity of medical line entanglements in a usual care group (n = 124) compared to the intervention group (n = 124) with the ML Wrap(s) in place. Hospitalized children ages 2 months to 6 years in a large pediatric hospital were observed hourly using an online data management system. Variables such as demographics, patient activity, type of medical lines, evidence of entanglements, and Level of Harm measured by the ML Entanglement Severity Scale were collected. Chi-square analyses were used to compare groups.

Results: Compared to the control group, patients who had ML Wrap(s) on their medical lines had a significantly fewer entanglements (15.1% vs 39.9%, p<.0001) and significantly lower entanglement severity scores for intravenous lines (p<.0001), pulse oximetry (p<.0001), and oxygen (p=.017). ''

Conclusion: The ML Wrap was effective in in preventing lines from getting tangled or wrapped around patients' bodies. Use of the ML Wrap in nursing practice will promote pediatric patient safety and avoid potential harm from medical lines.

Keywords:
hospitalized children; patient safety; unintentional injuries
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleTesting the Effectiveness of a New Device to Prevent Medical Line Entanglement in Pediatric Patientsen
dc.contributor.authorJaniszewski Goodin, Heatheren
dc.contributor.authorRyan-Wenger, Nancy A.en
dc.contributor.authorCreech, Pamelaen
dc.contributor.authorMullet, Joyceen
dc.contributor.departmentEpsilonen
dc.author.detailsHeather Janiszewski Goodin, PhD, RN, hjanisze@capital.edu; Nancy Ryan-Wenger, PhD, RN, FAAN; Pamela Creech, BSN, RN, CPN; Joyce Mullet, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/304523-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> Globally, unintentional injuries are the leading cause of death in children.<sup>1</sup> In hospitalized children, unintentional injuries from medical line (ML) entanglements occur when lines become tangled, compressed, or looped around patients' necks or other body parts.<sup>2</sup> The purpose of the study was to test the safety and effectiveness of a new medical device invented by a nurse called the ML Wrap, designed to prevent line entanglements in pediatric patients. The ML Wrap can be placed on intravenous lines, feeding tubes, oxygen tubes, and monitor cords to prevent patient harm such as strangulation, impaired circulation, tubing dislodgment, and misidentification of lines. The study was based on the Medical Line Safety Model that includes human, system, and medical line factors that contribute to level of harm from entanglements.<sup>2</sup><p><b>Methods: </b> A randomized, longitudinal, controlled design was used to measure the frequency and severity of medical line entanglements in a usual care group (n = 124) compared to the intervention group (n = 124) with the ML Wrap(s) in place. Hospitalized children ages 2 months to 6 years in a large pediatric hospital were observed hourly using an online data management system. Variables such as demographics, patient activity, type of medical lines, evidence of entanglements, and Level of Harm measured by the ML Entanglement Severity Scale were collected. Chi-square analyses were used to compare groups. <p><b>Results: </b> Compared to the control group, patients who had ML Wrap(s) on their medical lines had a significantly fewer entanglements (15.1% vs 39.9%, p<.0001) and significantly lower entanglement severity scores for intravenous lines (p<.0001), pulse oximetry (p<.0001), and oxygen (p=.017). '' <p><b>Conclusion: </b> The ML Wrap was effective in in preventing lines from getting tangled or wrapped around patients' bodies. Use of the ML Wrap in nursing practice will promote pediatric patient safety and avoid potential harm from medical lines.en
dc.subjecthospitalized childrenen
dc.subjectpatient safetyen
dc.subjectunintentional injuriesen
dc.date.available2013-10-22T20:37:57Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:37:57Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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