Specialist pneumonia intervention nurse service improves pneumonia care and outcome
Background A specialist pneumonia intervention nursing (SPIN) service was set up across a single National Health Service Trust in an effort to improve clinical outcomes. A quality improvement evaluation was performed to assess the outcomes associated with implementing the service before (2011–2013)...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-01-01
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| Series: | BMJ Open Respiratory Research |
| Online Access: | https://bmjopenrespres.bmj.com/content/8/1/e000863.full |
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| _version_ | 1850268863282806784 |
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| author | Matthew Richardson Robert C Free Pranabashis Haldar Gerrit Woltmann Camilla Pillay Kayleigh Hawkes Julie Skeemer Rebecca Broughton |
| author_facet | Matthew Richardson Robert C Free Pranabashis Haldar Gerrit Woltmann Camilla Pillay Kayleigh Hawkes Julie Skeemer Rebecca Broughton |
| author_sort | Matthew Richardson |
| collection | DOAJ |
| description | Background A specialist pneumonia intervention nursing (SPIN) service was set up across a single National Health Service Trust in an effort to improve clinical outcomes. A quality improvement evaluation was performed to assess the outcomes associated with implementing the service before (2011–2013) and after (2014–2016) service implementation.Results The SPIN service reviewed 38% of community-acquired pneumonia (CAP) admissions in 2014–2016. 82% of these admissions received antibiotic treatment in <4 hours (68.5% in the national audit). Compared with the pre-SPIN period, there was a significant reduction in both 30-day (OR=0.77 (0.70–0.85), p<0.0001) and in-hospital (OR=0.66 (0.60–0.73), p<0.0001) mortality after service implementation, with a review by the service showing the largest independent 30-day mortality benefit (HR=0.60 (0.53–0.67), p<0.0001). There was no change in length of stay (median 6 days).Conclusion Implementation of a SPIN service improved adherence to BTS guidelines and achieved significant reductions in CAP-associated mortality. This enhanced model of care is low cost, highly effective and readily adoptable in secondary care. |
| format | Article |
| id | doaj-art-e2c1c7242c974a4e912f338a4ce8fd62 |
| institution | OA Journals |
| issn | 2052-4439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Respiratory Research |
| spelling | doaj-art-e2c1c7242c974a4e912f338a4ce8fd622025-08-20T01:53:20ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392021-01-018110.1136/bmjresp-2020-000863Specialist pneumonia intervention nurse service improves pneumonia care and outcomeMatthew Richardson0Robert C Free1Pranabashis Haldar2Gerrit Woltmann3Camilla Pillay4Kayleigh Hawkes5Julie Skeemer6Rebecca Broughton71 Department of Respiratory Sciences, University of Leicester, Leicester, UK3 Department of Respiratory Sciences, University of Leicester, Leicester, UKNIHR Leicester Biomedical Research Centre, Department of Respiratory Sciences, University of Leicester, Leicester, UKDepartment of Respiratory Sciences, University of Leicester, Leicester, UKRenal Unit, King`s College Hospital, London, UKRespiratory Medicine Department, Glenfield Hospital, Leicester, UKRespiratory Medicine Department, Glenfield Hospital, Leicester, UKCorporate Medical and Nursing, University Hospitals of Leicester NHS Trust, Leicester, UKBackground A specialist pneumonia intervention nursing (SPIN) service was set up across a single National Health Service Trust in an effort to improve clinical outcomes. A quality improvement evaluation was performed to assess the outcomes associated with implementing the service before (2011–2013) and after (2014–2016) service implementation.Results The SPIN service reviewed 38% of community-acquired pneumonia (CAP) admissions in 2014–2016. 82% of these admissions received antibiotic treatment in <4 hours (68.5% in the national audit). Compared with the pre-SPIN period, there was a significant reduction in both 30-day (OR=0.77 (0.70–0.85), p<0.0001) and in-hospital (OR=0.66 (0.60–0.73), p<0.0001) mortality after service implementation, with a review by the service showing the largest independent 30-day mortality benefit (HR=0.60 (0.53–0.67), p<0.0001). There was no change in length of stay (median 6 days).Conclusion Implementation of a SPIN service improved adherence to BTS guidelines and achieved significant reductions in CAP-associated mortality. This enhanced model of care is low cost, highly effective and readily adoptable in secondary care.https://bmjopenrespres.bmj.com/content/8/1/e000863.full |
| spellingShingle | Matthew Richardson Robert C Free Pranabashis Haldar Gerrit Woltmann Camilla Pillay Kayleigh Hawkes Julie Skeemer Rebecca Broughton Specialist pneumonia intervention nurse service improves pneumonia care and outcome BMJ Open Respiratory Research |
| title | Specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| title_full | Specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| title_fullStr | Specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| title_full_unstemmed | Specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| title_short | Specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| title_sort | specialist pneumonia intervention nurse service improves pneumonia care and outcome |
| url | https://bmjopenrespres.bmj.com/content/8/1/e000863.full |
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