A nursing clinical decision support system and potential predictors of head-of-bed position for patients receiving mechanical ventilation

American Journal of Critical Care

Volumn 19, Issue 1, 2010, Pages 39-47

  Lyerla, Frank ^a   LeRouge, Cynthia ^b   Cooke, Dorothy A ^b   Turpin, Debra ^c   Wilson, Lisa ^c  

^a SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE   (United States)

^b SAINT LOUIS UNIVERSITY   (United States)

^c Alton Memorial Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; DECISION SUPPORT SYSTEM; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; MIDDLE AGED; NURSING; NURSING CARE; OBSERVATION; PATIENT POSITIONING; PRACTICE GUIDELINE; REMINDER SYSTEM; STANDARD; VENTILATOR ASSOCIATED PNEUMONIA;

ADULT; AGED; AGED, 80 AND OVER; DECISION SUPPORT SYSTEMS, CLINICAL; FEMALE; GUIDELINE ADHERENCE; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NURSING CARE; OBSERVATION; PATIENT POSITIONING; PNEUMONIA, VENTILATOR-ASSOCIATED; PRACTICE GUIDELINES AS TOPIC; REMINDER SYSTEMS; RESPIRATION, ARTIFICIAL;

EID: 77949506011     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2010836     Document Type: Article

References (32)

1. Shaw MJ. ventilator-associated pneumonia. Curr Opin Pulm Med. 2005;11(3):236-241.
2. Chastre J, Fagon JY. ventilator-associated pneumonia. Am J Respir Crit Care Med. 2002;165(7):867-903.
3. Ricart M, Lorente C, Diaz E, Kollef MH, Rello J. Nursing adherence with evidence-based guidelines for preventing ventilator-associated pneumonia. Crit Care Med. 2003; 31(11):2693-2696.
4. Joshi N, Localio AR, Hamory BH. A predictive risk index for nosocomial pneumonia in the intensive care unit. Am J Med. 1992;93(2):135-142.
5. Healthcare Infection Control Practices Advisory Committee; Centers for Disease Control and Prevention. Guidelines for preventing health care-associated pneumonia, 2003 recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. Respir Care. 2004;49(8):926-939.
6. Torres A, Serra-Batlles J, Ros E, et al. Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: the effect of body position. Ann Intern Med. 1992; 116(7):540-543.
7. Ibáñez J, Peñafiel A, Raurich JM, Marse P, Jordá R, Mata F. Gastroesophageal reflux in intubated patients receiving enteral nutrition: effect of supine and semirecumbent positions. JPEN J Parenter Enteral Nutr. 1992;16(5):419-422.
8. Orozco-Levi M, Torres A, Ferrer M, et al. Semirecumbent position protects from pulmonary aspiration but not completely from gastroesophageal reflux in mechanically ventilated patients. Am J Respir Crit Care Med. 1995;152(4, pt 1): 1387-1390.
9. Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogué S, Ferrer M. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet. 1999;354(9193):1851-1858.
10. Metheny NA, Chang YH, Ye JS, et al. Pepsin as a marker for pulmonary aspiration. Am J Crit Care. 2002;11:150-154.
11. Metheny NA, Clouse RE, Chang Y, Stewart BJ, Oliver DA, Kollef MH. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors. Crit Care Med. 2006;34:1007-1015.
12. Grap MJ, Munro CL, Hummel RS III, Elswick RK Jr, McKinney JL, Sessler CN. Effect of backrest elevation on the development of ventilator-associated pneumonia. Am J Crit Care. 2005;14:325-332.
13. McKay CA, Speers M. Watch for AACN practice alerts: new communication to advise on clinical practice standards. AACN News. 2004;21(2).
14. McClave SA, DeMeo MT, DeLegge MH, et al. North American Summit on Aspiration in the Critically Ill Patient: consensus statement. JPEN J Parenter Enteral Nutr. 2002;26(6 suppl): S80-S85.
15. Institute for Healthcare Improvement. Implement the ventilator bundle: elevation of the head of the bed. Institute for Healthcare Improvement Web site. http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/Individ ualChanges/Elevationoftheheadofthebed.htm. Accessed October 8, 2009.
16. American Association of Critical-Care Nurses. AACN practice alert: ventilator associated pneumonia. http://www.aacn.org/WD/Practice/Docs/Ventilator_Associated_Pneumonia_1-2 008.pdf. Issued January 2008. Accessed October 8, 2009.
17. Joint Commission. Specifications manual for national hospital quality measures-ICU. Joint Commission Web site. http://www.jointcommission.org/PerformanceMeasurement/MeasureReserveLibr ary/Spec+Manual+-+ICU.htm. Published 2005. Accessed October 8, 2009.
18. Heyland DK, Cook DJ, Griffith L, Keenan SP, Brun-Buisson C. The attributable morbidity and mortality of ventilatorassociated pneumonia in the critically ill patient. The Canadian Critical Trials Group. Am J Respir Crit Care Med. 1999;159(4, pt 1):1249-1256.
19. Osheroff JA, Pifer EA, Teich JM, Sittig DF, Jenders RA. Improving Outcomes With Clinical Decision Support: An Implementer's Guide. Chicago, IL: Healthcare Information and Management Systems Society; 2005.
20. Shea S, DuMouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996;3(6):399-409.
21. Hunt DL, Haynes RB, Hanna SE, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA. 1998;280:1339-1346.
22. Agrawal A, Mayo-Smith MF. Adherence to computerized clinical reminders in a large healthcare delivery network. Stud Health Technol Inform. 2004;107(pt 1):111-114.
23. Garg AX, Adhikari NK, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005;293:1223-1238.
24. Randolph AG, Haynes RB, Wyatt JC, Cook DJ, Guyatt GH. Users' guides to the medical literature, XVIII: how to use an article evaluating the clinical impact of a computer-based clinical decision support system. JAMA. 1999;282:67-74.
25. O'Neil ES, Dluhy NM, Fortier PJ, Michel HE. Knowledge acquisition, synthesis, and validation: a model for decision support systems. J Adv Nurs. 2004;47:134-142.
26. Polit DF, Beck CT. Nursing Research: Principles and Methods. Philadelphia, PA: Lippincott Williams & Wilkins; 2003.
27. American Association of Critical-Care Nurses. AACN practice alert: ventilator-associated pneumonia. AACN Clin Issues Adv Pract Acute Crit Care. 2005;16(1):105-109.
28. Lyerla F. Design and implementation of a nursing clinical decision support system to promote guideline adherence. Comput Inform Nurs. 2008;26:227-233.
29. US Department of Health and Human Services, National Institutes of Health. Calculate your body mass index. http://www.nhlbisupport.com/bmi/. Accessed October 8, 2009.
30. Potter PA, Perry AG. Fundamentals of Nursing. 6th ed. St Louis, MO: Mosby; 2005.
31. Panel for the Prediction and Prevention of Pressure Ulcers in Adults. Pressure Ulcers in Adults: Prediction and Prevention. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services; May 1992. AHCPR Publication No. 92-0047. Clinical Practice Guideline No. 3.
32. Helman DL, Sherner JH, Fitzpatrick TM, Callender ME, Shorr AF. Effect of standardized orders and provider education on head-of-bed positioning in mechanically ventilated patients. Crit Care Med. 2003;31:2285-2290.