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

2.50
Hdl Handle:
http://hdl.handle.net/10755/308500
Category:
Abstract
Type:
Presentation
Title:
Testing the Effectiveness of a New Device to Prevent Medical Line Entanglement in Pediatric Patients
Author(s):
Janiszewski Goodin, Heather; Mullet, Joyce; Ryan-Wenger, Nancy A.; Creech, Pamela
Lead Author STTI Affiliation:
Theta Theta
Author Details:
Heather Janiszewski Goodin, PhD, RN, hjanisze@capital.edu; Joyce Mullet, RN; Nancy Ryan-Wenger, PhD, RN, FAAN; Pamela Creech, BSN, RN, CPN
Abstract:

Session presented on: Tuesday, November 19, 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:
patient safety; pediatrics; medical line entanglement
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTesting the Effectiveness of a New Device to Prevent Medical Line Entanglement in Pediatric Patientsen_GB
dc.contributor.authorJaniszewski Goodin, Heatheren_GB
dc.contributor.authorMullet, Joyceen_GB
dc.contributor.authorRyan-Wenger, Nancy A.en_GB
dc.contributor.authorCreech, Pamelaen_GB
dc.contributor.departmentTheta Thetaen_GB
dc.author.detailsHeather Janiszewski Goodin, PhD, RN, hjanisze@capital.edu; Joyce Mullet, RN; Nancy Ryan-Wenger, PhD, RN, FAAN; Pamela Creech, BSN, RN, CPNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308500-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 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. <b></b><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_GB
dc.subjectpatient safetyen_GB
dc.subjectpediatricsen_GB
dc.subjectmedical line entanglementen_GB
dc.date.available2013-12-19T17:32:09Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:09Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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