48-Month Study on Reducing VAP Using Advanced Oral-Dental Care: Protocol Compliance, Infection Rates, LOS, Mortality, and Cost

Garcia, Robert; Jendresky, L.; Colbert, L.; Bailey, Ann

doi:10.1016/j.ajic.2006.05.215

Cited by 2 publications

(2 citation statements)

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“…9 Compliance with the use of evidence-based oral dental protocols elicits best practice performance from practitioners and improves ventilator patient safety outcomes. 8 Plost and Nelson's 9 study of critical care nurses found that behavioral approaches augmented with rewards improved compliance with protocols and resulted in a sustainable change in the COS in the ICU.…”

Section: Compliancementioning

confidence: 98%

“…8 Poor compliance and adherence to physician-approved screening protocols decrease efforts to improve patient safety outcomes within the healthcare agency. 9 Although a large body of knowledge exists about the proven effectiveness of evidence-based nursing interventions, there is clearly a gap between what is known and what is practiced.…”

Section: The Research Problemmentioning

confidence: 99%

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The Effect of Nurse Champions on Compliance With Keystone Intensive Care Unit Sepsis-Screening Protocol

Campbell¹

2008

Critical Care Nursing Quarterly

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Sepsis poses a major threat to patient safety in intensive care units (ICU) across the country. An accumulating body of evidence supports using established protocols to screen ICU patients regularly for sepsis indicators; however, there often is a gap between what is known and what is practiced. Compliance with sepsis screening was noted to be less than acceptable at one Regional Michigan Medical Center. The 2-fold purpose of this study was to evaluate the effect of introducing nurse champions into an ICU environment on (1) ICU nurses' compliance with Michigan Health and Hospital Association Keystone ICU sepsis screening protocols and (2) patient safety outcomes. A 1-group pretest-posttest quasi-experimental design was used for the study. A nonprobability, convenience sample of patient charts from a 16-bed ICU in a 352-bed regional referral center was used for the study. Findings from this study demonstrated that the introduction of nurse champions significantly improved compliance with ICU sepsis screening, from 23% preintroduction to 74% postintroduction, but had virtually no effect on patient outcomes related to percentage of patients treated for sepsis.

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Section: Compliancementioning

confidence: 98%

Section: The Research Problemmentioning

confidence: 99%

The Effect of Nurse Champions on Compliance With Keystone Intensive Care Unit Sepsis-Screening Protocol

Campbell¹

2008

Critical Care Nursing Quarterly

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Empowering critical care nurses to improve Compliance with protocols in the intensive care unit

Plost¹,

Nelson²

2007

American Journal of Critical Care

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•Background Practitioners often do not comply with evidence-based protocols. •Objective To improve compliance with evidence-based protocols in an intensive care unit. •Methods A baseline compliance range was obtained by using a sampling of 9 protocols for a 100% audit of 35 beds in an adult intensive care unit. Nurses were given positive rewards to promote an initiative to improve compliance with protocols. The original audit tool was used to assess compliance at intervals during a trial period and for a follow-up audit 3 years after implementation of the initiative. •Results One month after the initiative was started, compliance with protocols increased from a range of 62% to 77% to a compliance of almost 90%. Within 4 months, the compliance rate increased to a mean of more than 95%. Three years later, the compliance rate was greater than 90%. •Conclusion Extrinsic rewards improved compliance with protocols and resulted in a change in the culture in the intensive care unit that had a cumulative outcome.

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48-Month Study on Reducing VAP Using Advanced Oral-Dental Care: Protocol Compliance, Infection Rates, LOS, Mortality, and Cost

Cited by 2 publications

References 0 publications

The Effect of Nurse Champions on Compliance With Keystone Intensive Care Unit Sepsis-Screening Protocol

The Effect of Nurse Champions on Compliance With Keystone Intensive Care Unit Sepsis-Screening Protocol

Empowering critical care nurses to improve Compliance with protocols in the intensive care unit

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