The Effects of a Nursing Care Plan Incorporated with a Decision Support System on Ventilator Associated Pneumonia: A Case Study

Ozgur Bolat, Nalan Gulenc, Elife Ozkan, Nuran Aydin, Ilker Kose

2020

Abstract

The risk of pneumonia is high in patients who are ventilated in intensive care units (ICUs). Without proper and adequate care, this risk and the mortality rate increases. In a study conducted by the infection committee of our hospital (İzmir Tire State Hospital, the first digital (Stage 7) hospital in Turkey in 2016), it was found that the rate of ventilator-associated pneumonia (VAP) cases increased had increased over three years (2015-17) and was well above the national average. In this study, VAP prevalence in our ICU and the associated extra medication costs were calculated. Furthermore, nursing care plans related to VAP were reviewed and improvements were made according to international standards. The care plan was triggered by criteria defined in a clinical decision support system (CDSS) on the hospital information management system (HIS), and monitorization was conducted to ensure that nurses implement the care plan in a comprehensive and timely manner. As a result of the change, the rate of VAP cases, which had risen to 4.5% in 2017, was reduced to 0.5% in 2018. Similarly, we achieved cost reductions of 90.87% for VAP-based extra medications. Based on these results, it can be suggested that CDSS-supported nursing care can significantly reduce the risk of VAP and increase patient safety in the ICU.

Paper Citation

in Harvard Style

Bolat O., Gulenc N., Ozkan E., Aydin N. and Kose I. (2020). The Effects of a Nursing Care Plan Incorporated with a Decision Support System on Ventilator Associated Pneumonia: A Case Study. In Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2020) - Volume 5: HEALTHINF; ISBN 978-989-758-398-8, SciTePress, pages 693-698. DOI: 10.5220/0009164706930698

in Bibtex Style

@conference{healthinf20,
author={Ozgur Bolat and Nalan Gulenc and Elife Ozkan and Nuran Aydin and Ilker Kose},
title={The Effects of a Nursing Care Plan Incorporated with a Decision Support System on Ventilator Associated Pneumonia: A Case Study},
booktitle={Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2020) - Volume 5: HEALTHINF},
year={2020},
pages={693-698},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009164706930698},
isbn={978-989-758-398-8},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2020) - Volume 5: HEALTHINF
TI - The Effects of a Nursing Care Plan Incorporated with a Decision Support System on Ventilator Associated Pneumonia: A Case Study
SN - 978-989-758-398-8
AU - Bolat O.
AU - Gulenc N.
AU - Ozkan E.
AU - Aydin N.
AU - Kose I.
PY - 2020
SP - 693
EP - 698
DO - 10.5220/0009164706930698
PB - SciTePress