Barriers and opportunities to improve fluid balance recognition and reduction: a qualitative study - Takeaways - MDSpire

Barriers and opportunities to improve fluid balance recognition and reduction: a qualitative study

  • By

  • Chloe Braun

  • Celeste G. Dixon

  • Ami J. Shah

  • Adam Dziorny

  • Julie C. Fitzgerald

  • Susan Martin

  • James Odum

  • Melissa Ryan

  • Samantha Whitfield

  • Lori B. Bateman

  • Denise C. Hasson

  • June 11, 2026

  • 0 min

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  • 1

    Excess cumulative fluid balance in critically ill pediatric patients is linked to worse clinical outcomes and remains underrecognized.

  • 2

    The study involved semi-structured interviews with 38 healthcare professionals across four pediatric intensive care units.

  • 3

    Key themes identified include limitations in fluid balance data, insufficient focus on reducing fluid administration, and cultural barriers.

  • 4

    Inaccurate data reporting and entrenched practices hinder effective fluid management in pediatric intensive care settings.

  • 5

    The findings suggest the need for improved clinical decision support tools and quality improvement initiatives for fluid balance management.

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