Abstract:
BACKGROUND:Hospital-acquired pneumonia is now the number one hospital-acquired infection. Hospitals have addressed ventilator-associated pneumonia; however, patients not on a ventilator acquire more pneumonia with significant associated mortality rates. LOCAL PROBLEM:In our hospital, non-ventilator-associated pneumonia was occurring on all types of units. METHODS:The Influencer Model was used to reduce nonventilator hospital-acquired pneumonia rates. Statistical process control R and X-bar-charts were monitored monthly. INTERVENTIONS:After a gap analysis, an interdisciplinary team implemented enhanced oral care before surgery and on the units, changed tube management, and monitored stress ulcer medication. RESULTS:We achieved a statistically significantly reduction (P = .01) in pneumonia rates that have been sustained over 4 years. CONCLUSIONS:Sustaining change requires (a) a continued team-based, collaborative approach, (b) ongoing stakeholder and executive leadership engagement, (c) monitoring that easy-to-use protocols and required equipment remain in place, and (d) embedded analytics to monitor results over a prolonged period.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Baker D,Quinn B,Ewan V,Giuliano KKdoi
10.1097/NCQ.0000000000000359subject
Has Abstractpub_date
2019-07-01 00:00:00pages
223-229issue
3eissn
1057-3631issn
1550-5065journal_volume
34pub_type
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