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  1. Improving the Care of Patients with Community-Acquired Pneumonia : A Multihospital Collaborative QI Project.

    Article - En anglais

    Background 

    Performance of several processes of care was measured in eight acute care hospitals in Connecticut which provided inpatient treatment to 713 elderly patients with community-acquired pneumonia (CAP).

    Baseline data abstraction and feedback 

    Chart review feedback was provided, and the hospitals were requested to design their own quality improvement (QI) interventions, after which reexamination of process of care performance was conducted.

    Hospital QI interventions 

    Six of the eight hospitals had submitted QI plans.

    The quantity indicators dealing with timeliness of antibiotic delivery were specifically addressed by five hospitals.

    However, each hospital also picked one or two other processes of care for intervention.

    Results 

    The mean time to antibiotic administration decreased from 5.5 hours (+/-0.2) to 4.7 hours (+/-0.3 ; p<0.0001), and the percentage of patients who received antibiotics within four hours increased from 41.5% to 61.8% (p<0.0001).

    Discussion 

    This project called for obtaining buy-in from both the clinician and administrative representatives of each hospital early in the process.

    In this way, the targeted processes of care were likely to have relevance for eaoh of the participating hospitals.

    Education of practicing physicians and other health professionals, as the method chosen by each hospital to address delays in antibiotic administration, appears to have been successful in this project as part of a multifaced intervention. (...)

    Mots-clés Pascal : Pneumologie, Spécialité médicale, Qualité, Méthodologie, Personne âgée, Adulte, Age, Population, Démographie, Amélioration, Processus, Hôpital, Classe âge

    Mots-clés Pascal anglais : Pneumology, Medical specialty, Quality, Methodology, Elderly, Adult, Age, Population, Demography, Improvement, Process, Hospital, Age distribution

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 06/10/1999.