Features: PDF OnlyProcess Improvement Plan for the Reduction of Nosocomial Pneumonia in Patients on VentilatorsUlrich, Charla B.S.N., R.N., C.I.C2; Nicotra, Debra M.S., R.N., C.I.C1Author Information 1Infection Control Manager 2Infection Control Practitioner, Infection Control Department, St. Vincent Medical Center, Toledo, Ohio Journal of Nursing Care Quality: July 1996 - Volume 10 - Issue 4 - p 18-23 Buy Abstract Pneumonia is a frequently occurring nosocomial infection that often results in serious illness and death of the patient. In one hospital, after the discovery of a ventilator-associated nosocomial infection rate that was higher than the national standard, a multidisciplinary team was formed. The team followed the FOCUS-PDCA model of quality improvement to identify methods to improve the nosocomial pneumonia infection rate for mechanically ventilated patients. Three areas of potential improvement were identified: trial of a closed suction system, policies and procedures for cleaning of ventilators, and staff education. Additionally, a research project was conducted to identify predictors of ventilator-associated nosocomial pneumonia. These projects resulted in a reduction of the ventilator-associated nosocomial pneumonia infection rate to 8.3/1,000 ventilator days and a cost savings of more than $580,000. © 1996 Aspen Publishers, Inc.