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A bundled approach to care: reducing the incidence of postoperative pneumonia in patients undergoing hepatectomy and Whipple procedures

机译：一种捆绑的护理方法：降低术后肺切除术和奶粉程序的术后肺炎的发病率

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Postoperative occurrence of pneumonia can increase lengths of stay, risk of morbidity and death and health care costs. At Toronto General Hospital, we identified a high incidence of postoperative pneumonia in patients undergoing hepatectomy and Whipple procedures in 2016. To reduce the incidence of postoperative pneumonia, we implemented an evidence-based bundle approach in 2017. The bundle included the following components: oral care, incentive spirometry, coughing and deep breathing, physical activity, elevation of the head of the bed, and patient and family education. In addition to the bundle components, we provided staff education and created patient education and monitoring tools to ensure competency and compliance with the bundle components. Data collected as part of the National Surgical Quality Improvement Program were reviewed to monitor progress. In this article, we discuss our approach, aimed to reduce the incidence of postoperative pneumonia and associated health care costs in the general surgery population.

机译：肺炎的术后发生肺炎可以增加留下的长度，发病率和死亡风险和医疗保健成本。在多伦多综合医院，我们确定了2016年患有肝切除术和奶醉程序的患者术后肺炎的发病率。为减少术后肺炎的发病率，我们在2017年实施了一份以循环的捆绑方法。该捆绑包包括以下组成部分：口头护理，激励肺活量，咳嗽和深呼吸，身体活动，床头的高度，以及患者和家庭教育。除了捆绑组件外，我们还提供了员工教育，并创建了患者教育和监控工具，以确保能力和遵守捆绑组件。作为国家外科素质改善计划的一部分收集的数据被审查以监测进度。在本文中，我们讨论了我们的方法，旨在减少术后肺炎的发病率以及普通手术人口中的医疗费用。

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期刊名称 Canadian Journal of Surgery
作者
Gifty Mahama; Laavanyah Vigneswaran; Alice Silva; Azusa Maeda; Dalton-Grant Davis; Lenore Thomas; Beverly Barretto; Sandra Weller; Allan Okrainec; Joseph Gajasan; Timothy Jackson;
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作者单位

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年(卷),期 2021(64),1
年度 2021
页码 E9–E13
总页数 5
原文格式 PDF
正文语种
中图分类外科学;
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A bundled approach to care: reducing the incidence of postoperative pneumonia in patients undergoing hepatectomy and Whipple procedures

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