Feasibility research on application of safety checklist for arm infusion port        HE Jing, ZHAO Huan-huan, SU Yan-li,et al. The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
Corresponding author: ZHAO Huan-huan, E-mail: zhaohuanyikeda@126.com
Abstract    Objective    Design and test the clinical application of the arm infusion port safety checklist. Methods    Using evidence-based methods, a multidisciplinary research team was formed, and the Delphi method was used to conduct two rounds of expert letters to determine the first draft of the safety checklist, which was applied in 10 cases of arm infusion port operation in the Fourth Hospital of Hebei Medical University, and the final draft was determined after evaluation and feedback by the participating medical staff. A total of 160 patients with implantable arm infusion ports in the Fourth Hospital of Hebei Medical University from January to June 2021 were randomly divided into two groups by using a convenient sampling method, the non-application group (80 cases) and the application group (80 cases) according to whether to apply the safety checklist, and the incidence of defects in the operation of the arm infusion port and the implementation rate of each individual measure between two groups were compared, and the effect evaluation opinions of 63 medical staff in the Fourth Hospital of Hebei Medical University who applied the safety checklist to implement the arm infusion port implantation operation were investigated. Results    The incidence of all operational defects in the arm infusion port decreased (P < 0.05). The total implementation rate of the measures in the safety checklist reached 99.9%, an increase of (8.3±1.2)% compared to the non-application group. There were statistically significant differences in the implementation rate of 22 measures (all P <0.05). All 63 operators approved the use of the Arm Infusion Port Safety Checklist for arm infusion port operations, and 90.5% of medical staff approved of its use and clinical promotion. Conclusion    The Arm Infusion Port Safety Checklist can reduce the incidence of operational defects, and increase the implementation rate of content. The Arm Infusion Port Safety Checklist is highly acceptable and worthy of clinical promotion.