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Implementation of extended possibility for CPAP in general wards: A quality inter-professional intervention project
M B Klausen1, L H Gamst1, H I Jensen2
1Department of Anaesthesiology and Intensive Care, Vejle Hospital, a part of Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Implementing continuous positive airway pressure (CPAP) improved patient care for respiratory insufficiency. Staff gained new skills and cooperation, though further training is needed.
Area of Science:
- Medical Interventions
- Healthcare Quality Improvement
- Respiratory Care
Background:
- Respiratory insufficiency accounted for 70% of Rapid Response Team (RRT) activations in 2016.
- Continuous Positive Airway Pressure (CPAP) was the most frequent RRT intervention.
- Lack of systematic follow-up and limited CPAP availability outside daytime hours were identified issues.
Purpose of the Study:
- To implement and evaluate a CPAP intervention.
- To improve healthcare for patients with respiratory insufficiency.
- To enhance the accessibility and utilization of CPAP therapy.
Main Methods:
- A quality inter-professional intervention project was conducted.
- Included education on respiratory insufficiency and CPAP use for ward staff and RRT.
- Developed educational materials and updated guidelines, enabling CPAP use up to 3 times daily.
Main Results:
- Respiratory insufficiency remained the primary reason for RRT activation post-intervention.
- CPAP utilization increased, leading to a decrease in intensive care unit transfers.
- Staff reported enhanced competencies and improved inter-professional cooperation, but some desired more training.
Conclusions:
- The CPAP intervention enhanced staff competencies, system performance, and inter-professional collaboration.
- Improvements in healthcare delivery were observed.
- Continuous focus on the intervention is necessary for sustained benefits.
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