Effect of quality control circle in reducing ventilator-associated pneumonia in Pediatric Intensive Care Unit_West China Medical Journal

Authors：

FENGMei , CHENLijun , YANGCui ,  TANGMenglin

Pediatric Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TANGMenglin, Email: menglin_tang@163.com

Keywords：

Quality control circle; Pediatric Intensive Care Unit; Ventilator-associated pneumonia

DOI：

10.7507/1002-0179.201509173

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Objective To investigate the effect of quality control circle in reducing ventilator-associated pneumonia in Pediatric Intensive Care Unit (PICU). Methods A total of 1 249 child patients who underwent mechanical ventilation between January and December 2013 were chosen as the control group, and they accepted routine management. Another 1 208 child patients treated between January and December 2014 were selected as the observation group, and quality control circle was adopted. The compliance of ventilator care bundles, the duration of mechanical ventilation, the length of PICU stay and the incidence of ventilator-associated pneumonia were compared between the two groups. Results Compared with the control group, compliance of ventilator care bundles was higher in the observation group (P<0.01), the duration of mechanical ventilation was shorter [(6.9±2.4) daysvs. (4.6±2.2) days], the length of PICU stay was shorter [(9.2±3.1) daysvs. (7.7±2.4) days], and the incidence of ventilator-associated pneumonia was lower (22.4‰vs. 9.1‰) (P<0.05). Conclusion Application of quality control circle can significantly promote the compliance of ventilator care bundles, and decrease the duration of mechanical ventilation, the length of PICU stay and the incidence of ventilator-associated pneumonia.

Citation： FENGMei, CHENLijun, YANGCui, TANGMenglin. Effect of quality control circle in reducing ventilator-associated pneumonia in Pediatric Intensive Care Unit. West China Medical Journal, 2017, 32(1): 81-84. doi: 10.7507/1002-0179.201509173 Copy

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12.	譚創. 品管圈活動對機械通氣患者呼吸機相關性肺炎的影響. 中國實用護理雜志, 2015, 21(15): 118-119.
13.	梁翠娥. 品管圈在降低 ICU 呼吸機相關性肺炎患者感染中的應用. 齊魯護理雜志, 2014, 20(23): 30-31.
14.	李喜元, 尹吉東, 王東信, 等. 品管圈活動在降低呼吸機相關性肺炎的應用效果. 臨床薈萃, 2014, 7(7): 812-814.
15.	鄭秋霞, 彭根英, 張寧, 等. 品管圈管理對降低 ICU 呼吸機相關性肺炎的效果. 中國消毒學雜志, 2014, 31(5): 522-523.
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17.	趙娜, 崔文香. 集束化護理措施預防呼吸機相關性肺炎效果評價的 Meta 分析. 中國實用護理雜志, 2014, 30(10): 20-24.
18.	Labeau S, Vandijck D, Rello J, et al. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nurses. J Hosp Infect, 2008, 70(2): 180-185.
19.	Gastmeier P, Geffers C. Prevention of ventilator-associated pneumonia: analysis of studies published since 2004. J Hosp Infect, 2007, 67(1): 1-8.

1. ?管向東, 劉紫錳. 2013《呼吸機相關性肺炎診斷、預防和治療指南》——目標性治療的解讀. 中華醫學雜志, 2014, 94(5): 333-334.
2. 中華醫學會重癥醫學分會. 呼吸機相關性肺炎預防、診斷及指南. 中華內科雜志, 2013, 52(6): 1-20.
3. 劉庭芳, 劉勇. 中國醫院品管圈操作手冊. 北京: 人民衛生出版社, 2012: 1.
4. 周藜藜, 王維, 趙瑜, 等. 品質管理圈在提高胃腸減壓有效率中的應用. 華西醫學, 2015, 30(4): 754-757.
5. 陳林, 廖周誼, 李超, 等. 品質管理圈在血液透析中心護士手衛生管理中的應用. 華西醫學, 2015, 30(5): 929-932.
6. 陳啟花, 付琴, 刁永書. 品質管理圈活動在病區藥品管理中的效果觀察. 華西醫學, 2015, 30(8): 1514-1517.
7. Institute for Healthcare Improvement. Getting started kit: prevent ventilator-associated pneumonia: how-to guide. Crit Care Nurs Q, 2006, 29(2): 157-173.
8. Abbott CA, Dremsa T, Stewart DW, et al. Adoption of a ventilator-associated pneumonia clinical practice guideline. Worldviews Evid Based Nurs, 2006, 3(4): 139-152.
9. 彭小貝, 虞玲麗, 李映蘭, 等. 品管圈在提高重癥監護病房護士手衛生依從性中的應用. 中國感染控制雜志, 2015, 14(12): 862-864.
10. 李天民, 鄧靜, 王化宇, 等. 品管圈在呼吸機冷凝水管理中的應用. 中國感染控制雜志, 2015, 14(10): 713-714.
11. 鄧慧琴, 劉新玲, 馬敏. 運用品管圈提高患者床頭抬高依從率. 中國感染控制雜志, 2015, 14(4): 262-264.
12. 譚創. 品管圈活動對機械通氣患者呼吸機相關性肺炎的影響. 中國實用護理雜志, 2015, 21(15): 118-119.
13. 梁翠娥. 品管圈在降低 ICU 呼吸機相關性肺炎患者感染中的應用. 齊魯護理雜志, 2014, 20(23): 30-31.
14. 李喜元, 尹吉東, 王東信, 等. 品管圈活動在降低呼吸機相關性肺炎的應用效果. 臨床薈萃, 2014, 7(7): 812-814.
15. 鄭秋霞, 彭根英, 張寧, 等. 品管圈管理對降低 ICU 呼吸機相關性肺炎的效果. 中國消毒學雜志, 2014, 31(5): 522-523.
16. Resar R, Pronovost P, Haraden C, et al. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Jt Comm J Qual Patient Saf, 2005, 31(5): 243-248.
17. 趙娜, 崔文香. 集束化護理措施預防呼吸機相關性肺炎效果評價的 Meta 分析. 中國實用護理雜志, 2014, 30(10): 20-24.
18. Labeau S, Vandijck D, Rello J, et al. Evidence-based guidelines for the prevention of ventilator-associated pneumonia: results of a knowledge test among European intensive care nurses. J Hosp Infect, 2008, 70(2): 180-185.
19. Gastmeier P, Geffers C. Prevention of ventilator-associated pneumonia: analysis of studies published since 2004. J Hosp Infect, 2007, 67(1): 1-8.

West China Medical Journal

Effect of quality control circle in reducing ventilator-associated pneumonia in Pediatric Intensive Care Unit

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