{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:10Z","timestamp":1792787770772,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Xiangyang Central Hospital","award":["2025RCQM-099"],"award-info":[{"award-number":["2025RCQM-099"]}],"id":[{"id":"https:\/\/ror.org\/02dx2xm20","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Xiangyang Central Hospital","award":["2025RCYC-047"],"award-info":[{"award-number":["2025RCYC-047"]}],"id":[{"id":"https:\/\/ror.org\/02dx2xm20","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of an intelligent catheter risk-warning system in enhancing patient safety and nursing quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre-post implementation study in a tertiary hospital with nursing staff (n = 205) and patients with urinary or gastrointestinal catheters. The system integrated catheter care, maintenance overview, and QR-based patient education, enabling real-time alerts and automated label generation. Data on unplanned extubation rates, PSSUQ scores, nursing satisfaction, and labeling errors were compared before and after implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Unplanned nasogastric tube removal decreased from 0.852\u2030 to 0.501\u2030, while urinary catheter removal decreased from 0.219\u2030 to 0.114\u2030. PSSUQ scores and nursing satisfaction improved significantly after system implementation (P &lt; 0.001). Label color selection and label clarity also improved significantly (P &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The intelligent catheter risk alert system significantly reduced unplanned extubation rates and improved nursing workflow, providing a scalable model for enhancing patient safety in catheter management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582261491829","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:45:00Z","timestamp":1789656300000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing nursing workflow and patient safety through an intelligent catheter risk alert system: A pre-post implementation study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4128-5706","authenticated-orcid":false,"given":"Ying","family":"Lu","sequence":"first","affiliation":[{"name":"Xiangyang Central Hospital"},{"name":"Affiliated Hospital of Hubei University of Arts and Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital"},{"name":"Affiliated Hospital of Hubei University of Arts and Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangjin","family":"Diao","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital"},{"name":"Affiliated Hospital of Hubei University of Arts and Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Cai","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital"},{"name":"Affiliated Hospital of Hubei University of Arts and Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Cao","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital"},{"name":"Affiliated Hospital of Hubei University of Arts and Science"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03622-8"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000001365"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-051466"},{"key":"e_1_3_8_5_2","volume-title":"Patient Safety Action Plan (2023\u20132025) 2023","author":"China NHCotPsRo","unstructured":"China NHCotPsRo. 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Chin J nurs 2018; 53(11): 1360\u20131362.","journal-title":"Chin J nurs"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004411"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/10447318.2002.9669130"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.2196\/24271"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.807"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31824b0296"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc2913"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-35582-2"},{"issue":"6","key":"e_1_3_8_15_2","first-page":"101439","article-title":"Incidence of unplanned extubation in French intensive care units: are we ready for a SAFE-ICU plan","volume":"43","author":"Vetrugno L","year":"2024","unstructured":"Vetrugno L, Cortegiani A. 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