Volume 24 Issue 4
Apr.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(4): 703-706
XU Yan, WU Linke, ZHANG Qiwan, ZHANG Kai, HUANG Baoli. Application of HACCP system in the whole process management of arm infusion port for patients with lung cancer chemotherapy[J]. Chinese Journal of General Practice, 2026, 24(4): 703-706. doi: 10.16766/j.cnki.issn.1674-4152.004472
Citation: XU Yan, WU Linke, ZHANG Qiwan, ZHANG Kai, HUANG Baoli. Application of HACCP system in the whole process management of arm infusion port for patients with lung cancer chemotherapy[J]. Chinese Journal of General Practice, 2026, 24(4): 703-706. doi: 10.16766/j.cnki.issn.1674-4152.004472
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Application of HACCP system in the whole process management of arm infusion port for patients with lung cancer chemotherapy

doi: 10.16766/j.cnki.issn.1674-4152.004472

  • Department of Respiratory and Critical Care Medicine, Nanjing Hospital Affiliated with Nanjing Medical University (Nanjing First Hospital), Nanjing, Jiangsu 210006, China

Funds:

 81903089

  • Received Date: 2025-05-15
    Abstract
  •   Objective  To observe the application effect of hazard analysis and critical control point (HACCP) system in the whole process management of arm infusion port for patients undergoing lung cancer chemotherapy.  Methods  A total of 106 patients with lung cancer chemotherapy who received arm infusion port implantation were selected from Department of Respiratory Medicine of Nanjing Hospital Affiliated with Nanjing Medical University from May 2022 to May 2024, and were grouped according to admission time. In HACCP group, 53 patients were placed from May 2023 to May 2024 and implemented HACCP whole process management. In control group, 53 patients were placed from May 2022 to April 2023 and carried out routine infusion port management. The incidence rates of infusion port-related complications, process execution and operation quality indicators, medical data consumption indicators, and patient self-management ability were compared between the two groups.  Results  The total incidence rate of bag infection, tube plugging, thrombosis and catheter displacement in the HACCP group (7.55%, 4 patients) was lower than that in the control group (35.85%, 19 patients, χ2=12.494, P < 0.001). The compliance rate of timely replacement rate of dressing, qualified rate of flushing technique and qualified rate of dressing fixation in the HACCP group with 90.57% (48 cases), 92.45% (49 cases) and 96.23% (51 cases) were higher than 60.38% (32 cases), 64.15% (34 cases) and 64.15% (34 cases) in the control group (χ2=13.046, 12.494, 17.162, P < 0.001). The number of unplanned hospital returns was less in the HACCP group than that in the control group (P < 0.05), and the scores of infection prevention knowledge, daily maintenance skills, complication identification ability and medical order compliance and total score in the HACCP group were higher than those in the control group (P < 0.05).  Conclusion  HACCP system can significantly reduce the incidence rates of arm infusion port-related complications in patients with lung cancer chemotherapy, and enhance the quality of process execution and self-management ability, and it does not increase the consumption of medical resources.

     

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