Quality improvement strategies for the prevention of ventilator-associated pneumonia in ICU patients through multidisciplinary and multi-stage approaches
Quality improvement strategies for the prevention of ventilator-associated pneumonia in ICU patients through multidisciplinary and multi-stage approaches
Objective To explore the impact of multidisciplinary and multi-stage quality improvement strategies for the prevention of ventilator-associated pneumonia(VAP)on the occurrence of VAP in Intensive Care Unit(ICU)patients.Methods This study was conducted in the ICU of a tertiary comprehensive hospital in Bazhou,Xinjiang.Patients with invasive mechanical ventilation were included in the study.The study period was from January 2020 to December 2023,with each year considered as a study period.By integrating evidence-based nursing and implementing scientific methodologies,the quality improvement strategy was developed,with targeted interventions designed for each study period.Results Over the period from 2021 to 2023,the incidence of VAP was consistently lower than the hospital's warning line,and the implementation rate of the VAP prevention comprehensive intervention strategy in 2023 showed a significant improvement compared to the baseline(P<0.05).There were no unplanned extubation cases among all enrolled patients,and the average days of mechanical ventilation in 2023 were lower than in 2020,with a statistically significant difference(W=6786,P=0.008).Conclusion The quality improvement strategies can effectively reduce the occurrence of VAP in ICU patients and promote the effective advancement of clinical medical and nursing quality.
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