Hospital Acquired Pneumonia Prevention Initiative-2: Incidence of nonventilator hospital-acquired pneumonia in the United States

Baker, Dian; Quinn, Barbara

doi:10.1016/j.ajic.2017.08.036

Cited by 90 publications

(106 citation statements)

References 43 publications

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“…The incidence rate of nvHAP in our hospital was similar to that found in previous studies basing their surveillance on coding data [8,9,21], but incidence was higher than reported by Weber et al, Table 1 Validation of semi-automated surveillance who used the former CDC definitions of 1988 [7]. We found the highest nvHAP incidence rates in departments with a presumably high proportion of immunocompromised, multi-morbid, and elderly patients.…”

Section: Discussionsupporting

confidence: 88%

Development and validation of a semi-automated surveillance system—lowering the fruit for non-ventilator-associated hospital-acquired pneumonia (nvHAP) prevention

Wolfensberger

Jakob²,

Hesse

et al. 2019

Clinical Microbiology and Infection

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a b s t r a c tObjectives: Conducting manual surveillance of non-ventilator-associated hospital-acquired pneumonia (nvHAP) using ECDC (European Centre for Disease Prevention and Control) surveillance criteria is very resource intensive. We developed and validated a semi-automated surveillance system for nvHAP, and describe nvHAP incidence and aetiology at our hospital. Methods: We applied an automated classification algorithm mirroring ECDC definition criteria to distinguish patients 'not at risk' from patients 'at risk' for suffering from nvHAP. 'At risk'-patients were manually screened for nvHAP. For validation, we applied the reference standard of full manual evaluation to three validation samples comprising 2091 patients. Results: Among the 39 519 University Hospital Zurich inpatient discharges in 2017, the algorithm identified 2454 'at-risk' patients, reducing the number of medical records to be manually screened by 93.8%. From this subset, nvHAP was identified in 251 patients (0.64%, 95%CI: 0.57e0.73). Sensitivity, negative predictive value, and accuracy of semi-automated surveillance versus full manual surveillance were lowest in the validation sample consisting of patients with HAP according to the International Classification of Diseases (ICD-10) discharge diagnostic codes, with 97.5% (CI: 93.7e99.3%), 99.2% (CI: 97.9 e99.8%), and 99.4% (CI: 98.4e99.8%), respectively. The overall incidence rate of nvHAP was 0.83/1000 patient days (95%CI: 0.73e0.94), with highest rates in haematology/oncology, cardiac and thoracic surgery, and internal medicine including subspecialties. Conclusions: The semi-automated surveillance demonstrated a very high sensitivity, negative predictive value, and accuracy. This approach significantly reduces manual surveillance workload, thus making continuous nvHAP surveillance feasible as a pivotal element for successful prevention efforts.

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Section: Discussionsupporting

confidence: 88%

Development and validation of a semi-automated surveillance system—lowering the fruit for non-ventilator-associated hospital-acquired pneumonia (nvHAP) prevention

Wolfensberger

Jakob²,

Hesse

et al. 2019

Clinical Microbiology and Infection

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“…Evidence-based therapeutic interventions to prevent hospital-acquired pneumonia have been described in the literature, but this fundamental care is often missed or omitted in U.S. hospitals (Baker & Quinn, 2018). Occupational therapy practitioners can advocate for the incorporation of basic ADLs and routines that are often omitted in acute settings.…”

Section: Reducing Hospital-acquired Conditionsmentioning

confidence: 99%

Policy and Payment Changes Create New Opportunities for Occupational Therapy in Acute Care

Pritchard

Fisher

Rudnitsky

et al. 2019

The American Journal of Occupational Therapy

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Importance: Changes in health care policy and payment over the past decade have resulted in a greater emphasis on cost effectiveness, quality outcomes, and the health care consumer's experience. Payers' response to the new policies and their expectations have created expanded opportunities for occupational therapy practitioners in health care overall but particularly in acute care hospitals.Objective: The objective of this article is to empower occupational therapy directors, practitioners, educators, and students to be proactive in a rapidly changing acute care setting. Evidence Review: Research on policy and payment changes since the passage of the Patient Protection and Affordable Care Act (Pub. L. 111-148) was synthesized with evidence related to occupational therapy practice and education.Findings: Occupational therapy practitioners in acute care environments are experiencing expanded roles in optimizing patient readiness for safe community discharge, decreasing lengths of stay, and protecting them from hospital-acquired conditions. Conclusions and Relevance: Policy and payment initiatives reward health care organizations for the added value occupational therapy practitioners bring to acute care teams.What This Article Adds: This article details how occupational therapy practitioners can advance consumer satisfaction, outcomes, and efficiency in acute care, which can lead to increased recognition of the vital role that occupational therapy can play, thus leading to expanded opportunities.

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“…The bacteria that cause pneumonia include S. pneumonia, H. Influenza, Gram-negative Basilus, M. pneumoniae, C. pneumoniae, L. pneumonia [4], [5]. While pneumonia that occurs in hospitals is called nosocomial pneumonia, namely pneumonia during hospital treatment, especially in the elderly, after surgery and on ventilator use [6], [7]. Some causes of nosocomial pneumonia are the gastric aspiration, thoracic aspiration, use of type II histamine inhibitors, use of nebulizers, humidifiers, nasogastric pipes, endotracheal pipes, and enteral feeding through all of these causes are risk factors for infection nosocomial in the lungs [8], [9], [10].…”

Section: Introductionmentioning

confidence: 99%

The Epidemiology of Hospitalized Pneumonia in Bahteramas Hospital, Southeast Sulawesi Province

Tosepu¹,

Yusnaniningsi²

2019

Proceedings of the International Conference on Environmental Awareness for Sustainable Development in Conjunction With Internat

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Pneumonia is a disease that can affect all age groups. In some countries, this disease is often found in groups of children. Various causes of pneumonia such as microorganisms. This study was conducted at the Bahteramas Hospital in Southeast Sulawesi Province; the data taken was patients treated with symptoms of pneumonia in the period 2012-2017. It was concluded that the sex group of male patients was higher than women and from the age group of patients with age less than four years.

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Hospital Acquired Pneumonia Prevention Initiative-2: Incidence of nonventilator hospital-acquired pneumonia in the United States

Cited by 90 publications

References 43 publications

Development and validation of a semi-automated surveillance system—lowering the fruit for non-ventilator-associated hospital-acquired pneumonia (nvHAP) prevention

Development and validation of a semi-automated surveillance system—lowering the fruit for non-ventilator-associated hospital-acquired pneumonia (nvHAP) prevention

Policy and Payment Changes Create New Opportunities for Occupational Therapy in Acute Care

The Epidemiology of Hospitalized Pneumonia in Bahteramas Hospital, Southeast Sulawesi Province

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