title: British Thoracic Society community-acquired pneumonia care bundle: results of a national implementation project.
abstract: In 2013, 16 U.K. hospital trusts participated in a quality improvement programme involving implementation of a community-acquired pneumonia (CAP) care bundle. High-level data were collected on 14,962 patients admitted with CAP; bundle implementation increased from 1% in October 2012 to 20% by September 2013. Analysis of patient-level data on 2118 adults (median age 75.3 years) found that in the bundle-implementation group, significantly more patients received antibiotics within 4 h of admission (adjusted OR 1.52, 95% CI 1.08 to 2.14, p=0.016) and 30-day inpatient mortality was lower (8.8% vs. 13.6%; adjusted OR 0.59, 95% CI 0.37 to 0.95, p=0.03).
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Wei Shen
authors.initials: WS
authors.lastname: Lim
authors.affiliation: Department of Respiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Chamira
authors.initials: C
authors.lastname: Rodrigo
authors.affiliation: Department of Respiratory Medicine, Heart of England NHS Foundation Trust, Birmingham, UK.
authors.forename: Alice M
authors.initials: AM
authors.lastname: Turner
authors.affiliation: British Thoracic Society, London, UK.
authors.forename: Sally
authors.initials: S
authors.lastname: Welham
authors.affiliation: Department of Respiratory Medicine, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
authors.forename: James M
authors.initials: JM
authors.lastname: Calvert
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017714:Community-Acquired Infections / Q000188:drug therapy* / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D064872:Patient Care Bundles / Q000592:standards*; D010865:Pilot Projects; D011014:Pneumonia / Q000188:drug therapy* / Q000401:mortality; D015272:Pulmonary Medicine; D058996:Quality Improvement / Q000639:trends*; D012189:Retrospective Studies; D012955:Societies, Medical; D013997:Time Factors; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Pneumonia