Sartin Jeffrey S, Rydmark Terri E, Robinson Jane E, Michels Marilyn A
GundersenLutheran Medical Center, Infectious Diseases, 1900 South Ave, La Crosse, WI 54601, USA.
WMJ. 2007 Jul;106(4):205-10.
The implementation of guidelines for treatment of Community-Acquired Pneumonia (CAP) has been proposed as a quality improvement and cost-saving strategy, though the effectiveness of several recommendations has yet to be confirmed through clinical trials. We sought to analyze the development and implementation of guidelines at our hospital, and to identify particular successes and impediments.
Date sources included the Web sites of the Joint Commission on Accreditation of Healthcare Organizations, the Infectious Disease Society of America, and the American Thoracic Society. References from their guidelines were reviewed, and further citations were obtained using Ovid software to search for references within the last 15 years using "pneumonia guideline," "pneumococcal vaccination," and other relevant search terms. Our own hospital data was compiled, analyzed, and presented using Excel software.
Significant improvement was seen during the 2-year study period when CAP guidelines were implemented at our hospital. However, we also identified several impediments, which will require further attention to achieve our quality improvement goals.
Our implementation of CAP guidelines was challenging but overall instructive and contributory to patient care. We review further areas for improvement.
社区获得性肺炎（CAP）治疗指南的实施已被提议作为一项质量改进和节省成本的策略，尽管多项建议的有效性尚未通过临床试验得到证实。我们试图分析我院指南的制定与实施情况，并确定具体的成功之处和障碍。
数据来源包括医疗保健组织认证联合委员会、美国传染病学会和美国胸科学会的网站。对其指南中的参考文献进行了审查，并使用Ovid软件通过使用“肺炎指南”“肺炎球菌疫苗接种”及其他相关检索词搜索过去15年内的参考文献来获取更多引用。我们使用Excel软件对本院数据进行整理、分析和呈现。
在我院实施CAP指南的两年研究期间，有显著改善。然而，我们也发现了一些障碍，要实现质量改进目标还需要进一步关注。
我们实施CAP指南具有挑战性，但总体上具有指导意义并有助于患者护理。我们回顾了进一步改进的领域。
