Pneumonia O2 assessment

Summary: Improvement made by making oxygen saturation a mandatory vital sign. Pulse oximetry machines were added to vital sign machines on the nursing floors.

Organization: Arroyo Grande Community Hospital

Overview

Nursing educated on importance of getting a baseline oxygen assessment on all patients. We found that if there was consistent practice on all patients staff would not miss the pneumonia patients. Not all patients had clear diagnosis of pneumonia on addmission.

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Implementation

Mandatory education on all core measures. Had hallway parties with games and prizes re all core measures. Did quarterly inservices with staff.

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Evaluation

Did random chart audits of all charts to ensure that oxygen assessment was done on all patients.

Posted a scorecard on data re core measures monthly.

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Results

Went from 20-30% compliance in documentation of oxygen saturation to 98-100% monthly.

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Benefit

Improved scores with core measures.

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