1 A Dedicated Pediatric Intravenous Therapy Team: Five-Year Outcomes of a Nurse-Led Management Model https://brieflands.com/journals/ijp/articles/171254 10.5812/ijpediatr-171254 1 Background :A dedicated pediatric intravenous therapy team may improve the quality, safety, and efficiency of vascular access care by centralizing specialized nursing expertise, standardizing technical procedures, and enhancing complication management. Objectives :This study aimed to describe the establishment and management of a dedicated pediatric intravenous therapy team at a single children's hospital and to report observed changes in service quality and efficiency over a 5-year period using a retrospective before-and-after observational design. Methods :The team was established in 2019. Management strategies included role definition, eligibility criteria, workflow standardization, and performance-based incentives. Indicators of service volume, puncture success rate, complication rate, and regional influence were compared descriptively between the preimplementation and postimplementation periods from 2019 to 2024. Results :After the team was established, the compound annual growth rate of outpatient maintenance procedures reached 44.5%, and the success rate of ultrasound-guided puncture exceeded 98%. The catheter-related infection rate declined to < 1‰. The mean satisfaction rate among pediatric patients and their parents was 99.3%. Although the total number of complications during in-hospital consultations decreased, exudation/bleeding at the PICC puncture site emerged as a new management priority, accounting for 35.3% of complications in 2024. Out-of-hospital consultations rebounded by 80.0% in 2024, and the team provided systematic training to 18 visiting nurses. Conclusions :In this single-center before-and-after observational study, the implementation of a dedicated pediatric intravenous therapy team was associated with improvements in observed nursing quality and efficiency. This model provides a practice-based reference for specialized pediatric nursing management; however, its causal effectiveness requires validation through more rigorous study designs. 1 9 Jin Ting General Pediatric Ward,Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China China jinting18@163.com Xu Hong Zhen Department of Nursing，National Clinical Research Center for Children and Adolescents' Health and Diseases, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China China 6184020@zju.edu.cn Hongqin Zhou Department of Nursing, Children’s Hospital Affiliated to Zhejiang University Medical College, Hangzhou, 310051, China China zhq6052@163.com No Keyword 1.pdf [0]Yao J, Mo L, Guo XL, et al.Application of internet plus multi-dimensional linkage model in PICC home continuing nursing for children with malignant tumors. 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