{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:53:51Z","timestamp":1791266031936,"version":"4.1.0"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the association between a multicomponent PDCA-based infusion safety management strategy and intraoperative peripheral intravenous (PIV) outcomes in adults with pulmonary tuberculosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This non-randomized historical-control study included 92 adults undergoing thoracic surgery: 46 historical controls receiving routine infusion management and 46 patients receiving a multicomponent intervention integrating PDCA-based quality improvement, staff training, standardized protocols, interdepartmental collaboration, audit and feedback, and two auxiliary devices. Baseline demographic and surgical characteristics were comparable between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with historical controls, the intervention group had lower rates of erythema\/tenderness [8.7% vs. 69.6%; RR, 0.13 (95% CI, 0.05\u20130.33)], catheter dislodgement [2.2% vs. 28.3%; RR, 0.08 (95% CI, 0.01\u20130.56)], and catheter occlusion [4.3% vs. 43.5%; RR, 0.10 (95% CI, 0.02\u20130.40); all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.001]. Catheter dwell time was longer [5.0 vs. 3.0 days; Hodges\u2013Lehmann difference, +2.0 days (95% CI, 1.0\u20132.0)], whereas hospital stay was shorter [11.0 vs. 19.0 days; difference, \u22127.0 days (95% CI, \u221210.0 to \u22125.0)]. Satisfaction scores were also higher [95.0 vs. 91.5; difference, +3.0 points (95% CI, 2.0\u20134.0); all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The multicomponent PDCA-based strategy was associated with fewer PIV-related safety events, longer catheter dwell time, and higher satisfaction. However, because the intervention combined process changes with two devices and used a historical control, the observed differences cannot be attributed independently to PDCA or either device.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1899920","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:21:59Z","timestamp":1791264119000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a multicomponent PDCA-based infusion safety management strategy in patients with pulmonary tuberculosis: a non-randomized historical-control study"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiaoming","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, The Fourth Hospital of Inner Mongolia Autonomous Region","place":["Hohhot, 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