Designing Technology to Decrease Pneumonia in Intubated Trauma Patients.
Trauma patients are at increased risk for developing ventilator-associated pneumonia. Sixty adult trauma intensive care unit patients were audited 3 months prepractice change, and 30 were audited postpractice change. Quality improvement interventions included staff education of a redesigned electronic medical record ventilator bundle and chlorhexidine gluconate administration timing practice change. Postpractice change audits revealed 2-hour chlorhexidine gluconate documentation increased from 38.3% to 73.3% and incidence of pneumonia in intubated patients decreased by 62%. Early initiation of chlorhexidine gluconate mouth care utilizing electronic medical record technology may help reduce pneumonia in intubated patients, hospital length of stay, overall health costs, and improve documentation.
Deaconess Hospital, Evansville, Indiana.
Jillian Nichole
JN
Swearer
Ciara Lucinda
CL
Hammer
Susan Marie
SM
Matthews
Jennifer Lynn
JL
Meunier
Krisie Lee
KL
Medler
Genevieve Stella
GS
Kamer
Dana Marie
DM
Fiedler
Courtney Lynn
CL
Johnston
Kami Rebekah
KR
Schmitt
Angela Jane
AJ
Sawyer
D000328:Adult; D020811:Biomedical Technology / Q000458:organization & administration; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D003422:Critical Care / Q000379:methods; D003428:Cross Infection / Q000517:prevention & control; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000379:methods; D007902:Length of Stay; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology / Q000517:prevention & control*; D011322:Primary Prevention / Q000379:methods*; D012121:Respiration, Artificial / Q000009:adverse effects*; D018570:Risk Assessment; D014193:Trauma Centers / Q000458:organization & administration*; D016896:Treatment Outcome
C010882:chlorhexidine gluconate; D002710:Chlorhexidine