An Educational Intervention to Reduce Ventilator-Associated Pneumonia in an Integrated Health System
| Autor: | Jeanne E. Zack, Marilyn Jones, Teresa Garrison, Ellen Trovillion, Marin H. Kollef, Hilary M. Babcock, Victoria J. Fraser |
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| Rok vydání: | 2004 |
| Předmět: |
Pulmonary and Respiratory Medicine
Artificial ventilation Mechanical ventilation medicine.medical_specialty business.industry medicine.medical_treatment Respiratory disease Ventilator-associated pneumonia Critical Care and Intensive Care Medicine medicine.disease Pneumonia medicine Observational study Cardiology and Cardiovascular Medicine Intensive care medicine business Educational program Respiratory care |
| Zdroj: | Chest. 125:2224-2231 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.125.6.2224 |
| Popis: | Study objectives To determine whether an educational initiative could decrease rates of ventilator-associated pneumonia in a regional health-care system. Setting Two teaching hospitals (one adult, one pediatric) and two community hospitals in an integrated health system. Design Preintervention and postintervention observational study. Patients Patients admitted to the four participating hospitals between January 1, 1999, and June 30, 2002, who acquired ventilator-associated pneumonia. Intervention An educational program for respiratory care practitioners and ICU nurses emphasizing correct practices for the prevention of ventilator-associated pneumonia. The program included a self-study module on risk factors for, and strategies to prevent, ventilator-associated pneumonia and education-based in-services. Fact sheets and posters reinforcing the information were posted throughout the ICU and respiratory care departments. Measurements and results Completion rates for the module were calculated by job title at each hospital. Rates of ventilator-associated pneumonia per 1,000 ventilator days were calculated for all hospitals combined and for each hospital separately. Overall 635 of 792 ICU nurses (80.1%) and 215 of 239 respiratory therapists (89.9%) completed the study module. There were 874 episodes of ventilator-associated pneumonia at the four hospitals during the 3.5-year study period out of 129,527 ventilator days. Ventilator-associated pneumonia rates for all four hospitals combined dropped by 46%, from 8.75/1,000 ventilator days in the year prior to the intervention to 4.74/1,000 ventilator days in the 18 months following the intervention (p Conclusions Educational interventions can be associated with decreased rates of ventilator-associated pneumonia in the ICU setting. The involvement of respiratory therapy staff in addition to ICU nurses is important for the success of educational programs aimed at the prevention of ventilator-associated pneumonia. |
| Databáze: | OpenAIRE |
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