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

1
Department of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung City 813414, Taiwan
2
Department of Nursing, Meiho University, Neipu, Pingtung 91202, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Pentti Nieminen
Int. J. Environ. Res. Public Health 2021, 18(21), 11128; https://doi.org/10.3390/ijerph182111128
Received: 24 August 2021 / Revised: 18 October 2021 / Accepted: 19 October 2021 / Published: 22 October 2021
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 (p = 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. View Full-Text
Keywords: ventilator-associated pneumonia; bundle; intensive care; information system ventilator-associated pneumonia; bundle; intensive care; information system
MDPI and ACS Style

Lee, H.-H.; Lin, L.-Y.; Yang, H.-F.; Tang, Y.-Y.; Wang, P.-H. Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia. Int. J. Environ. Res. Public Health 2021, 18, 11128. https://doi.org/10.3390/ijerph182111128

AMA Style

Lee H-H, Lin L-Y, Yang H-F, Tang Y-Y, Wang P-H. Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia. International Journal of Environmental Research and Public Health. 2021; 18(21):11128. https://doi.org/10.3390/ijerph182111128

Chicago/Turabian Style

Lee, Hung-Hui, Li-Ying Lin, Hsiu-Fen Yang, Yu-Yi Tang, and Pei-Hern Wang. 2021. "Application of an Automatic Medical Information System to Implement Bundle Care for the Prevention of Ventilator-Associated Pneumonia" International Journal of Environmental Research and Public Health 18, no. 21: 11128. https://doi.org/10.3390/ijerph182111128

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