The percentage of patients with pneumonia...

What we measuring? The percentage of patients with pneumonia, blood cultures performed before first antibiotic received in hospital. Why is this important? Since different types of bacteria can cause pneumonia, the hospital must complete a blood culture to determine which bacteria can cause pneumonia and which antibiotic will work best. Blood cultures is useful to help determine how best to treat pneumonia and to determine whether the precautions necessary to prevent the spread of disease. What does our performance tell us? BIDMC said his work at the event each quarter in the U.S., Ministry of Health, Social Services, which posts information on its website. Figure below shows the last quarter BIDMC in performance compared with performance of 10% of the nation's hospitals. Look for the large differences in the points to be sure that the distinction makes sense. Small differences may not reflect real differences in performance (ie, they can not be statistically significant). Source of comparison data: Centers for Medicare Medicaid Services, October 2011. According to statistics, in 100% of patients with pneumonia for 10% of the nation's Hospital are blood culture to determine the appropriate antibiotic for treatment. At BIDMC, 97% of patients with pneumonia given a blood culture to determine the appropriate antibiotic for treatment. Thus, performance isjust BIDMC to below 10% of the nation's hospitals, because blood cultures to determine the appropriate antibiotic for the treatment of patients with pneumonia. What we do to improve our work? BIDMC emergency department physicians and nurses to continue working to improve the protocols and procedures for due diligence blood culture to antibiotics. What are we measuring? The percentage of patients who received appropriate antibiotics after arrival. Why is this important strattera? Bacteria or viruses causing pneumonia. When caused by bacteria, pneumonia can be treated with antibiotics. Hospitals should choose the antibiotics that are best related to the type of bacteria that cause infections for each patient's pneumonia. What our work to tell? BIDMC said his work at the event each quarter in the U.S., Ministry of Health, Social Services, which posts information on its website. Figure below shows the last quarter BIDMC in performance compared with performance of 10% of the nation's hospitals. Look for the large differences in the points to be sure that the distinction makes sense. Small differences may not reflect real differences in performance (ie, they can not be statistically significant). Source of comparison data: Centers for Medicare Medicaid Services, October 2011. According to statistics, 99% of patients with pneumonia in 10% of the nation's hospitals given appropriate antibiotics for treatment. At BIDMC, 96% of patients with pneumonia given appropriate antibiotics for treatment. Thus, performanceisbelow BIDMC for 10% of the nation hospitals for the provision of appropriate antibiotics in patients with pneumonia. What we measure? The percentage of patients receiving antibiotics withinsix hours after arrival. Why is this important? Patients with pneumonia caused by bacteria need to get antibiotics as soon as possible to reduce the risk of serious complications. What our work to tell? BIDMC said his work at the event each quarter in the U.S., Ministry of Health, Social Services, which posts information on its website. Figure below shows the last quarter BIDMC in performance compared with performance of 10% of the nation's hospitals. Look for the large differences in the points to be sure that the distinction makes sense. Small differences may not reflect real differences in performance (ie, they can not be statistically significant). Source of comparison data: Centers for Medicare Medicaid Services, October 2011. According to statistics, 100% of patients with bacterial pneumonia in 10% of the nation's hospitals given initial antibiotic treatment withinsix hours of arrival. At BIDMC, 93% of patients with bacterial pneumonia data for initial antibiotic treatment within six hours after arrival. Thus, productivity isbelow BIDMC in 10% of the country hospitals to provide the initial antibiotics to patients with bacterial pneumonia withinsix hours after arrival. What we do to improve our work? The problem of hospital and emergency department overcrowding contributed to our performance on this indicator in this quarter. To help solve this problem, pneumonia clinical path was implemented to allow the emergency nurse to identify and promptly receive an order for antibiotics to patients who are waiting in the emergency unit for inpatient beds. This way simplifies the steps to be taken when the patient arrives in the emergency department with possible pneumonia and thus should increase the number of patients receiving initial antibiotics within six hours. Last update: January 2, 2012