scholarly journals Development and implementation of a performance improvement project in adult intensive care units: overview of the Improving Medicine Through Pathway Assessment of Critical Therapy in Hospital-Acquired Pneumonia (IMPACT-HAP) study

Critical Care ◽  
2011 ◽  
Vol 15 (1) ◽  
pp. R38 ◽  
Author(s):  
Julie E Mangino ◽  
Paula Peyrani ◽  
Kimbal D Ford ◽  
Daniel H Kett ◽  
Marcus J Zervos ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Performance Improvement ◽  
Improvement Project ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired ◽  
A Performance

Hospital-Acquired Pneumonia Developed in Non-Intensive Care Units

Respiration ◽  
2009 ◽  
Vol 78 (4) ◽  
pp. 416-422 ◽  
Author(s):  
Ebru Cakir Edis ◽  
Osman N. Hatipoglu ◽  
Ilker Yilmam ◽  
Alper Eker ◽  
Ozlem Tansel ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

scholarly journals Etiology, incidence and mortality in patients with ventilator-associated pneumonia in adult general surgery and cardiac surgery intensive care units in University Hospital Dubrava

2020 ◽  
Vol 39 (4) ◽  
pp. 124-128
Author(s):  
Andrea Karin ◽  
Andrej Šribar ◽  
Marko Pražetina ◽  
Katerina Bakran ◽  
Jasminka Peršec
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
General Surgery ◽  
University Hospital ◽  
Ventilator Associated Pneumonia ◽  
Timely Initiation ◽  
Incidence And Mortality ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Ventilator-associated pneumonia (VAP) and hospital acquired pneumonia (HAP) strongly contribute to morbidity and mortality in intensive care units. Hospital acquired pneumonia (HAP) is pneumonia occurring 48 hours upon admission and appears not to be incubating at the time of admission. Ventilator-associated pneumonia (VAP) is a type of HAP developing in intubated patients after more than 48 hours upon mechanical ventilation. HAP and VAP are common and serious complications present in hospitalized patients. Since the diagnosis of VAP and HAP are rarely documented, we wanted to assess the incidence of VAP in General Surgery and Cardiac Surgery Intensive Care Units in 2018 and analyse the patients and procedures related factors. Patients intubated and ventilated more than 96 hours during 2018 were included. Our findings have shown that incidence of VAP in two analysed ICUs in UH Dubrava is in line with VAP incidence found in literature due to successful preventive strategies and timely initiation of antimicrobial therapy and other adjunctive procedures.

Hospital-Acquired Pneumonia in the Intensive Care Units of Polish Hospitals

2006 ◽  
Vol 27 (7) ◽  
pp. 784-786
Author(s):  
Jadwiga Wójkowska-Mach ◽  
Małgorzata Bulanda ◽  
Anna Różańska ◽  
Piotr Kochan ◽  
Piotr B. Heczko
Keyword(s):  
Escherichia Coli ◽  
Intensive Care ◽  
Mortality Rate ◽  
Intensive Care Units ◽  
Artificial Ventilation ◽  
Ventilator Associated Pneumonia ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired ◽  
Epidemiological Characteristics ◽  
Overall Mortality

We analyzed the epidemiological characteristics of pneumonia in intensive care units of Polish hospitals. Among 11,587 patients, there were 191 cases of hospital-acquired pneumonia (HAP). The incidence of HAP was 5.6%, and that of ventilator-associated pneumonia (VAP) was 17.9%. The overall mortality rate was 12.6%, and the mortality rate for patients who received artificial ventilation was 15.0%. The predominant organisms causing HAP and VAP were Pseudomonas aeruginosa and Escherichia coli, and 21.1% of Staphylococcus aureus isolates were resistant to methicillin.

Hospital-Acquired Pneumonia in the Intensive Care Units of Polish Hospitals

2006 ◽  
Vol 27 (7) ◽  
pp. 784-786 ◽  
Author(s):  
Jadwiga Wójkowska-Mach ◽  
Małgorzata Bulanda ◽  
Anna Różańska ◽  
Piotr Kochan ◽  
Piotr B. Heczko
Keyword(s):  
Escherichia Coli ◽  
Intensive Care ◽  
Mortality Rate ◽  
Intensive Care Units ◽  
Artificial Ventilation ◽  
Ventilator Associated Pneumonia ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired ◽  
Epidemiological Characteristics ◽  
Overall Mortality

We analyzed the epidemiological characteristics of pneumonia in intensive care units of Polish hospitals. Among 11,587 patients, there were 191 cases of hospital-acquired pneumonia (HAP). The incidence of HAP was 5.6%, and that of ventilator-associated pneumonia (VAP) was 17.9%. The overall mortality rate was 12.6%, and the mortality rate for patients who received artificial ventilation was 15.0%. The predominant organisms causing HAP and VAP were Pseudomonas aeruginosa and Escherichia coli, and 21.1% of Staphylococcus aureus isolates were resistant to methicillin.

Abstract WP407: Role of the Stroke Response Nurse to Improve Compliance with Key Stroke Performance Indicators

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Katie Broadway
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Performance Improvement ◽  
Performance Indicators ◽  
Stroke Patients ◽  
Improvement Project ◽  
Scale Assessment ◽  
Number Of Patients ◽  
Improve Compliance ◽  
Bedside Nursing

Background and Issues: Comprehensive Stroke Centers are in high demand and bed availability can be limited. Oftentimes, patients are admitted to non-neuro intensive care units while waiting for a Neuro ICU bed to become available. Key stroke performance indicators, such as an initial NIH Stroke Scale assessment and bedside nursing dysphagia screen, are often missed in these instances. Purpose: The purpose of this performance improvement project was to improve compliance of the key stroke performance indicators on patients admitted with stroke in the facility, specifically those who were admitted to non-neuro units. Methods: A Stroke Response Nurse project was developed by the Neuro ICU to help improve the compliance of these key stroke performance indicators when patients were admitted to one of the other four intensive care units in the hospital. This performance improvement project involved a pilot period of three months, which was compared to the three months prior to implementing the Stroke Response Nurse project. The project was established using the Plan, Do, Check, Act model. Results: The Stroke Response Nurse responded to 22% of the stroke patients that were admitted to non-Neuro ICUs. Out of these patients, all showed 100% compliance with the indictors of an initial NIH Stroke Scale assessment and bedside nursing dysphagia screen. The pilot period was repeated for another 51 days, in which the Stroke Response Nurse responded to 75% of these stroke patients. Conclusions: The Stroke Response Nurse project improved the compliance of key stroke performance indicators for the patients that were seen. More training is needed among the non- Neuro intensive care units in this facility to increase the number of patients that are seen to 100%.

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