Brooks K, Whitten S, Quigley D
Overton Brooks VAMC, Shreveport, LA, USA.
J Healthc Qual. 1998 Jan-Feb;20(1):14-9. doi: 10.1111/j.1945-1474.1998.tb00244.x.
Ventilator-related pneumonia is costly not only in terms of treatment, equipment, and length of stay but also in terms of patient morbidity and mortality. From October 1995 through March 1996 an increase in ventilator-related pneumonia cases, of which 83% were caused by methicillin-resistant Staphylococcus aureus (MRSA), was noted at a Veterans Affairs medical center. A multidisciplinary team based on the TQI model and using TQI tools, methodology, and principles of problem solving was subsequently formed to look into ventilator-related pneumonia. The team's data collection and analysis efforts identified numerous opportunities for improvement. The primary outcome has been a decrease in the incidence of ventilator-related pneumonia that has resulted in substantial cost savings.
呼吸机相关性肺炎不仅在治疗、设备和住院时间方面成本高昂，而且在患者发病率和死亡率方面也是如此。1995年10月至1996年3月期间，一家退伍军人事务医疗中心发现呼吸机相关性肺炎病例有所增加，其中83%由耐甲氧西林金黄色葡萄球菌（MRSA）引起。随后组建了一个基于全面质量改进（TQI）模型并使用TQI工具、方法和问题解决原则的多学科团队，以调查呼吸机相关性肺炎。该团队的数据收集和分析工作发现了许多改进机会。主要成果是呼吸机相关性肺炎的发病率有所下降，从而节省了大量成本。
