INTEGRIS Grove General Hospital: Community Acquired Pneumonia

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INTEGRIS Grove General Hospital
1310 S. Main
Grove, OK 74344

(918) 786-2243

Community Acquired Pneumonia Measures

INTEGRIS Quality > Grove General Hospital Quality

Improvement measures for"Blood Culture before Antibiotics."

In an effort to improve compliance in this area, the ER Nurse Manager provided an inservice to his staff, which included instructions to document the time that the Lab actually drew the patient's blood - and not to start the antibiotic until after blood had been drawn.

NOTE: The hospital utilizes a physician-approved CAP Admission Protocol

In order to make sure the patient's blood is drawn by the Laboratory before the prescribed antibiotic is given, the Emergency Room staff documents the time Lab came into the Emergency Room and drew the patient's blood.

	INTEGRIS Grove General Hospital	United States Top 10%	United States Average	Oklahoma Average
	(April-June 2008)	Apr 2007 - Mar 2008	July 2006 - June 2007	July 2006 - June 2007

Oxygenation Assessment	100%	100%	99%	100%
Pneumococcal Vaccination	100%	98%	78%	75%
Blood Cultures for Pneumonia Patients in ICU	100%	100%	Not Reported	Not Reported
Blood Cultures In ER Before Initial Antibiotic	97.4%	98%	90%	91%
Smoking Cessation Advice	100%	100%	85%	79%
Initial Antibiotic Within 4 Hours of Arrival	90%	Not Reported	Not Reported	Not Reported
Initial Antibiotic Within 6 Hours of Arrival	97.5%	99%	93%	94%
Initial Antibiotic Selection in Immunocompetent Patient	100%	Not Reported	Not Reported	Not Reported
Initial Antibiotic Selection in Immunocompetent - ICU Patient	100%	91%	Not Reported	Not Reported
Initial Antibiotic Selection Immunocompetent - Non ICU Patient	100%	98%	Not Reported	Not Reported
Influenza Vaccination	No Patients Fit Criteria	97%	75%	75%

Click on the bars in the table below for trend data and
more explanation about each measure.

A -	Oxygenation Assessment
B -	Pneumococcal Vaccination
C -	Blood Cultures Perf 24hrs Prior/24hrs After Hosp Arrival for Patients Transf/Admit to ICU within 24hrs Hosp
D -	Blood Cultures Performed In Emergency Room Before Initial Antibiotic
E -	Adult smoking cessation advice/counseling
F -	Initial Antibiotic Received within 4 Hours of Hospital Arrival
G -	Initial Antibiotic Received within 6 Hours of Hospital Arrival
H -	Initial Antibiotic Selection in Immunocompetent Patient
I -	Initial Antibiotic Selection in Immunocompetent - ICU Patient
J -	Initial Antibiotic Selection in Immunocompetent - Non ICU Patient
K -	Influenza Vaccination