Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Ventilator-associated pneumonia is a common hospital-acquired infection. It causes patients to stay longer in the hospital and increases medical costs. This study explores the effect of applying an automatic medical information system to implement five-item prevention care bundles on the prevention...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hung-Hui Lee, Li-Ying Lin, Hsiu-Fen Yang, Yu-Yi Tang, Pei-Hern Wang
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	ventilator-associated pneumonia bundle intensive care information system Medicine R
Acceso en línea:	https://doaj.org/article/bcbddc9712124684909e2501c67bb6c4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bcbddc9712124684909e2501c67bb6c4
record_format	dspace
spelling	oai:doaj.org-article:bcbddc9712124684909e2501c67bb6c42021-11-11T16:17:16ZApplication of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia10.3390/ijerph1821111281660-46011661-7827https://doaj.org/article/bcbddc9712124684909e2501c67bb6c42021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11128https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Ventilator-associated pneumonia is a common hospital-acquired infection. It causes patients to stay longer in the hospital and increases medical costs. This study explores the effect of applying an automatic medical information system to implement five-item prevention care bundles on the prevention of ventilator-related pneumonia. This study was a retrospective cohort study. This study was conducted from October 2017 to February 2018 and collected data from the intensive care unit of a medical center in southern Taiwan from January 2013 to May 2016. The control group (enrolled from January 2013 to June 2014) received oral hygiene. The experimental group (enrolled from July 2014 to December 2015) received five-item ventilator-associated pneumonia prevention care bundles, which consisted of (1) elevation of the head of the bed to 30–45°; (2) daily oral care with 0.12−0.2% chlorhexidine twice daily; (3) daily assessment of readiness to extubate; (4) daily sedative interruption; and (5) emptying water from the respirator tube. Results showed the incidence of ventilator-associated pneumonia in the bundle group was significantly less than the oral hygiene group (<i>p</i> = 0.029). The factors that significantly affected the incidence of ventilator-associated pneumonia were ventilator-associated pneumonia care bundle, ventilator-days, and intensive care unit length of stay. A significant reduction in ventilator-associated pneumonia rate in the bundle group compared to the oral hygiene group (OR = 0.366, 95% CI = 0.159–0.840) was observed, with 63.4% effectiveness. Application of an automatic medical information system to implement bundle care can significantly reduce the incidence of ventilator-associated pneumonia.Hung-Hui LeeLi-Ying LinHsiu-Fen YangYu-Yi TangPei-Hern WangMDPI AGarticleventilator-associated pneumoniabundleintensive careinformation systemMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11128, p 11128 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventilator-associated pneumonia bundle intensive care information system Medicine R
spellingShingle	ventilator-associated pneumonia bundle intensive care information system Medicine R Hung-Hui Lee Li-Ying Lin Hsiu-Fen Yang Yu-Yi Tang Pei-Hern Wang Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
description	Ventilator-associated pneumonia is a common hospital-acquired infection. It causes patients to stay longer in the hospital and increases medical costs. This study explores the effect of applying an automatic medical information system to implement five-item prevention care bundles on the prevention of ventilator-related pneumonia. This study was a retrospective cohort study. This study was conducted from October 2017 to February 2018 and collected data from the intensive care unit of a medical center in southern Taiwan from January 2013 to May 2016. The control group (enrolled from January 2013 to June 2014) received oral hygiene. The experimental group (enrolled from July 2014 to December 2015) received five-item ventilator-associated pneumonia prevention care bundles, which consisted of (1) elevation of the head of the bed to 30–45°; (2) daily oral care with 0.12−0.2% chlorhexidine twice daily; (3) daily assessment of readiness to extubate; (4) daily sedative interruption; and (5) emptying water from the respirator tube. Results showed the incidence of ventilator-associated pneumonia in the bundle group was significantly less than the oral hygiene group (<i>p</i> = 0.029). The factors that significantly affected the incidence of ventilator-associated pneumonia were ventilator-associated pneumonia care bundle, ventilator-days, and intensive care unit length of stay. A significant reduction in ventilator-associated pneumonia rate in the bundle group compared to the oral hygiene group (OR = 0.366, 95% CI = 0.159–0.840) was observed, with 63.4% effectiveness. Application of an automatic medical information system to implement bundle care can significantly reduce the incidence of ventilator-associated pneumonia.
format	article
author	Hung-Hui Lee Li-Ying Lin Hsiu-Fen Yang Yu-Yi Tang Pei-Hern Wang
author_facet	Hung-Hui Lee Li-Ying Lin Hsiu-Fen Yang Yu-Yi Tang Pei-Hern Wang
author_sort	Hung-Hui Lee
title	Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
title_short	Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
title_full	Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
title_fullStr	Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
title_full_unstemmed	Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia
title_sort	application of an automatic medical information system to implement bundle care for the prevention of ventilator-associated pneumonia
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/bcbddc9712124684909e2501c67bb6c4
work_keys_str_mv	AT hunghuilee applicationofanautomaticmedicalinformationsystemtoimplementbundlecareforthepreventionofventilatorassociatedpneumonia AT liyinglin applicationofanautomaticmedicalinformationsystemtoimplementbundlecareforthepreventionofventilatorassociatedpneumonia AT hsiufenyang applicationofanautomaticmedicalinformationsystemtoimplementbundlecareforthepreventionofventilatorassociatedpneumonia AT yuyitang applicationofanautomaticmedicalinformationsystemtoimplementbundlecareforthepreventionofventilatorassociatedpneumonia AT peihernwang applicationofanautomaticmedicalinformationsystemtoimplementbundlecareforthepreventionofventilatorassociatedpneumonia
_version_	1718432379927789568

Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia

Ejemplares similares