This paper is an analysis of cost effective techniques for the prevention of nosocomial (hospital-acquired) pneumonia.
Written in 2009; 2,523 words; 8 sources; APA; $ 76.95
Paper Summary:
This paper defines nosocomial pneumonia as the development of a fever, leukocytosis, purulent sputum, and new or changes to lung infiltrates on chest x-ray within 72 hours of hospitalization. The paper explains that post-operative nosocomial pneumonia is very preventable but that frequent complications can be costly and life-threatening. The paper addresses areas of improvement for the prevention of nonsocomial pneumonia, such as research, which has shown that careful pre-operative screening can identify patients who are especially at risk for developing post-surgical pneumonia. The paper also describes evidence, which shows that use of an incentive spirometer, early ambulation after surgery as well as the use of coughing & deep breathing exercises is associated with positive post-surgical health outcomes. Tables that illustrate the data are included with the paper.
Table of Contents:
Area in Need of Improvement
Evidence-Based Plan
- Table 1. Odds Ratios of Common Post-operative Pulmonary Complications
Implementation Plan for this Process Improvement
- Table 2. Pneumonia Risk Identification
- Table 3. How to Score Patients Using the Pneumonia Risk Identification Protocol
Business Case to Support Evidenced-Based Plan
- Table 4. Cost of Current Practices
- Table 5. Cost of Implementing PRIP
- Table 6. Cost-Benefit Analysis
Conclusion
From the Paper:
"Currently Medicare has identified eight conditions that will no longer be reimbursed if a patient develops them during an inpatient stay. Those conditions are object left in patient during surgery, air embolism, blood incompatibility, catheter-associated urinary tract infection, pressure ulcer, vascular-catheter associated infection, mediastinitis after coronary-artery bypass grafting, and fall from bed [4]. Rosenthal wrote in October of 2007 that these eight conditions were identified after meeting several criteria including that the condition "could reasonably have been prevented through the application of evidence-based guidelines". Currently post-surgical pneumonia is not one the eight identified conditions, but as the number of Medicare participants increases and funds are strained, this preventable and costly condition could easily become next on Medicare's list of non-reimbursable conditions."
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