Simple steps to prevent hospital-acquired pneumonia in non-intubated patients: a quality improvement project

Autor: Anousha Singal, Alice Wilkinson, Ghada Ramadan
Rok vydání: 2021
Předmět:
Zdroj: British journal of nursing (Mark Allen Publishing). 30(2)
ISSN: 0966-0461
Popis: Background: Hospital-acquired pneumonia (HAP) affects approximately 1.5% of UK inpatients. As well as leading to significant morbidity and mortality, HAP increases burden on hospitals by lengthening hospital stay. At a district general hospital in Kent, a quality improvement project (QIP) was designed that introduced simple preventive measures that could be implemented by ward nurses and allied health professionals. Methods: Three audit cycles studying a total of 222 inpatients on elderly care wards were undertaken over a 6-month period to assess staff compliance at various stages of the project, with interventions between each cycle. Actions included raising bedheads to 30°, sitting patients out of bed for meals, discouraging use of drinking straws, and regular mouth care. Results: Overall, improvements were seen in three of the measures. Considering the percentage of patients, there was a 23% increase in patients with bedheads >30°, 21% increase in use of adult feeding cups rather than straws, and 26% rise in patients sitting out of bed for meals. Conclusion: The main objective of this QIP was to show that these simple yet potentially life-saving interventions are easy to implement on a busy ward, and the results have shown this to be true.
Databáze: OpenAIRE