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Evaluation of Emergency Department Evidence-Based Practices to Prevent the Incidence of Ventilator-Acquired Pneumonia
被引:7
|作者:
McCoy, Tonia
[1
]
Fields, Willa
[2
]
Kent, Nanette
[1
]
机构:
[1] Sharp Grossmont Hosp, San Diego, CA USA
[2] San Diego State Univ, Sch Nursing, San Diego, CA 92182 USA
关键词:
emergency department;
evidence-based practice;
intubation;
mechanical ventilation;
performance improvement;
ventilator-acquired pneumonia;
ORAL CARE;
CHLORHEXIDINE;
IMPACT;
D O I:
10.1097/NCQ.0b013e31822124dc
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
Pathogens in the oropharynx may be transported to the lung parenchyma during intubation and cause ventilator-acquired pneumonia. This project evaluated 3 post intubation evidence-based practices in the emergency department: oral care, head-of-bed elevation, and suctioning above the endotracheal tube balloon. Ventilator-acquired pneumonia cases decreased 83% after implementing these practices. There is no need to wait for the patient to be admitted to intensive care to begin these evidence-based practices.
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页码:83 / 88
页数:6
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