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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11.	邓慧琴, 刘新玲, 马敏. 运用品管圈提高患者床头抬高依从率. 中国感染控制杂志, 2015, 14(4): 262-264.
12.	谭创. 品管圈活动对机械通气患者呼吸机相关性肺炎的影响. 中国实用护理杂志, 2015, 21(15): 118-119.
13.	梁翠娥. 品管圈在降低 ICU 呼吸机相关性肺炎患者感染中的应用. 齐鲁护理杂志, 2014, 20(23): 30-31.
14.	李喜元, 尹吉东, 王东信, 等. 品管圈活动在降低呼吸机相关性肺炎的应用效果. 临床荟萃, 2014, 7(7): 812-814.
15.	郑秋霞, 彭根英, 张宁, 等. 品管圈管理对降低 ICU 呼吸机相关性肺炎的效果. 中国消毒学杂志, 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.	赵娜, 崔文香. 集束化护理措施预防呼吸机相关性肺炎效果评价的 Meta 分析. 中国实用护理杂志, 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. 管向东, 刘紫锰. 2013《呼吸机相关性肺炎诊断、预防和治疗指南》——目标性治疗的解读. 中华医学杂志, 2014, 94(5): 333-334.
2. 中华医学会重症医学分会. 呼吸机相关性肺炎预防、诊断及指南. 中华内科杂志, 2013, 52(6): 1-20.
3. 刘庭芳, 刘勇. 中国医院品管圈操作手册. 北京: 人民卫生出版社, 2012: 1.
4. 周藜藜, 王维, 赵瑜, 等. 品质管理圈在提高胃肠减压有效率中的应用. 华西医学, 2015, 30(4): 754-757.
5. 陈林, 廖周谊, 李超, 等. 品质管理圈在血液透析中心护士手卫生管理中的应用. 华西医学, 2015, 30(5): 929-932.
6. 陈启花, 付琴, 刁永书. 品质管理圈活动在病区药品管理中的效果观察. 华西医学, 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. 彭小贝, 虞玲丽, 李映兰, 等. 品管圈在提高重症监护病房护士手卫生依从性中的应用. 中国感染控制杂志, 2015, 14(12): 862-864.
10. 李天民, 邓静, 王化宇, 等. 品管圈在呼吸机冷凝水管理中的应用. 中国感染控制杂志, 2015, 14(10): 713-714.
11. 邓慧琴, 刘新玲, 马敏. 运用品管圈提高患者床头抬高依从率. 中国感染控制杂志, 2015, 14(4): 262-264.
12. 谭创. 品管圈活动对机械通气患者呼吸机相关性肺炎的影响. 中国实用护理杂志, 2015, 21(15): 118-119.
13. 梁翠娥. 品管圈在降低 ICU 呼吸机相关性肺炎患者感染中的应用. 齐鲁护理杂志, 2014, 20(23): 30-31.
14. 李喜元, 尹吉东, 王东信, 等. 品管圈活动在降低呼吸机相关性肺炎的应用效果. 临床荟萃, 2014, 7(7): 812-814.
15. 郑秋霞, 彭根英, 张宁, 等. 品管圈管理对降低 ICU 呼吸机相关性肺炎的效果. 中国消毒学杂志, 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. 赵娜, 崔文香. 集束化护理措施预防呼吸机相关性肺炎效果评价的 Meta 分析. 中国实用护理杂志, 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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