100%(3)3 out of 3 people found this document helpful
This preview shows page 11 - 14 out of 21 pages.
Once these significant data points are reached the results then flag to infection control to further assess the patient and their chart for the possibility of ventilator-associated pneumonia. If ventilator-associated pneumonia is defined and confirmed, a strict root, cause, and analysis are then performed, taken to the committee and improvement measures are then subsequently initiated. Data collection is performed daily at this facility through assessment by designated survey teams comprised of nursing educators, respiratory therapy, and infection control. Information obtained includes number of ventilator patients in the facility, number of days patients are on the ventilator, and hospital regulated prevention measures. The prevention measures set forth by WRMC include patient head of bed greater than 30 degrees, prophylactic peptic ulcer medication, daily sedation vacations with weaning trials, oral care performed by
VENTILATOR ASSOCIATED PNEUMONIA12respiratory therapy every four hours or as needed, and every two hour turns per nursing staff. Weekly, quarterly, and monthly statistics on ventilator-associated events are obtained and distributed to corresponding units and their administration for analysis.Ideal Target and BenchmarkThe term benchmarking has taken on many definitions and characteristics over the years, but when compared with healthcare initiatives, it focuses upon the ability to utilize persistent andcomparative efforts of its competitors to provide better care for their consumers (AHRQ, 2013). When related to ventilator-associated events, benchmarking in terms of surveillance methods, preventative measures, diagnostic procedures, and patient mortality should be studied and compared with that of other facilities and national statistics to streamline and improve quality standards in the prevention of ventilator-associated events. Ideally the goal target for any ventilator-associated condition, more specifically, ventilator-associated pneumonia would be zero percent. Unfortunately, while this is a goal, it may not be realistic as extenuating circumstances and complications often arise outside of all preventative measures set in place. These targets should be comparable to that of national standards and statistics to allow for a more attainable goal outcome.Analysis and Data PresentationAccording to the Office of Disease Prevention and Health Promotion (2019) in their Healthy People 2020 initiative, at any given time hospital-acquired infections affect 1 in 25 individuals; this indicates that over 650,000 individuals are then considered to be affected by such infections. In the United States, ventilator-associated pneumonia accounts for approximately 25% of all of studied hospital-acquired infections and approximately half of hospital driven antibiotic therapy (Morrow & Kollef, 2012). An annual review of hospital-
VENTILATOR ASSOCIATED PNEUMONIA13acquired infections at WRMC was released to hospital administration for the calendar year of 2018 in the corresponding ventilator units: Neuro Intensive Care Unit (Neuro ICU), Coronary Care Unit (CCU), and Medical Intensive Care Unit (MICU).