Implementing an Evidence-based, Standardized Care Bundle Targeting Register Nurses and Anaesthesiologists, to Enhance Patient Safety and Quality of Intravascular Access Devices Care Management - The Safe-IVADs Project. A Longitudinell Implementation Intervention With an Embedded Process Evaluation.

The goal of this observational study spanning over three years is to evaluate the effectiveness of implementing a co-designed, care bundle on intravascular access device (IVAD) quality and nurses and anaesthesiologist knowledge of IVADs best practices, at an intervention hospital compare to care as usual the a control hospital. Additional aims are to: 1. translate and validate a tool for identifying patients with difficult vein access within the Swedish healthcare context, 2. to evaluate the implementation related to its feasibility, acceptability, fidelity, and cost-effectiveness. The main questions it aims to answer are: * Does the implementation of evidence-based practices improve the quality of IVADs care, e.g. thrombophlebitis/phlebitis, extravasation, infiltration, dislodgement and increase register nurses and anaesthesiologists' knowledge of IVADs best practices? * Does the intervention bridge barriers to successful implementation and support routinization of evidence-based practices. * Which factors influence the implementation in terms of feasibility, acceptability, cost-effectiveness and compatibility with professionals' existing values and clinical workflows?

NCT Number	NCT07524608
Lead Sponsor	Sahlgrenska University Hospital
Conditions	Phlebitis, Thrombophlebitis, Infiltration of Peripheral IV Therapy, Extravasation Injury, Infections Symtoms
Enrollment	700 participants
Start Date	2026-07-20
Primary Completion	2028-12-31 (estimated)
Study Completion	2028-12-31 (estimated)
Updated on ClinicalTrials.gov	2026-06-25