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Oxygenation Assessment
Inadequate oxygen in the arterial blood (hypoxemia) is common in severe pneumonia and is a known mortality risk factor. Giving supplemental oxygen has been shown to decrease mortality among patients with pneumonia.
Oxygenation Assessment was added as a 5th vital sign for all admissions. In order to improve compliance new vital sign machines were purchased. The new machines have Oxygenation Assessment capabilities. To offset the cost of the new machines, a request was made to the auxiliary. They graciously purchased at least one machine for each nursing unit. Education was completed on the use and the purpose of the new machines. The education process emphasized the importance of oxygenation assessment. Compliance data is posted on each unit quarterly. Case Management reviews all pneumonia admissions for documentation of the assessment.
Kahn KL, Rogers WH, Rubenstein LV, et al. Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system. JAMA, 1990;264:1969-1973.
Meehan TP, et al: Quality of care, process, and outcomes in elderly patients with pneumonia. JAMA, 1997;278(23):2080-2084.