Construction and application of a quality evaluation indicator system for intravenous therapy nursing.

OBJECT: To construct a quality evaluation indicator system for intravenous therapy nursing and identify deficiencies in clinical practice. METHODS: Based on the structure-process-outcome framework, we developed through literature review, semi-structured interviews, and Delphi consultation (n = 22 experts). We used the analytic hierarchy process determined indicator weights. Validation included an empirical evaluation across 30 public hospitals using TOPSIS and RSR methods. RESULTS: The finalized system comprises 3 first-level, 15 s-level, and 49 third-level indicators. Expert authority coefficients were 0.903/0.898; Kendall's W = 0.321/0.329 (P < 0.01). Hospital performance: total score = 84.09 ± 8.63 (structure = 14.90 ± 2.73; process = 33.77 ± 4.39; outcome = 35.42 ± 2.95). TOPSIS-RSR analysis identified H13, H3, and H27 as top performers and H4, H1, and H20 as needing improvement. CONCLUSION: The validated system effectively identifies clinical weaknesses and provides actionable insights for quality enhancement. CLINICAL TRIAL NUMBER: Not applicable.