Multidisciplinary team opportunities in those diagnosed with pneumonia
Elaine Newman1, Courtney Gough1, Alison Choong1 1Armadale Health Service, Perth, Western Australia, Australia
Abstract
In 2021, 54 patients at Armadale Health Service (AHS) developed a hospital-acquired pneumonia (HAP) according to hospital ICD10 coding. A retrospective audit was conducted at AHS with the aim to investigate the current care provided, identify missed opportunities for prevention, and formulate best practice recommendations.
A literature review was completed to identify factors preceding HAP and establish best practice care. HAP development can extend a patient’s length of stay by 19 days, on average, and may be associated with significant additional costs. The audit captured data for risk factor identification, the implementation of physiotherapy assessments and treatments pre- and post-HAP, frequency of mobilisation and oral care.
The audit results identified that all patients had at least one pre-existing risk factor for HAP development on admission. Prior to a HAP diagnosis, physiotherapy mobility assessments were conducted in 86.79% of patients and the remaining individuals in the cohort were already ambulating at their pre-admission level with no clinical indication for review.
The results also indicate opportunities exist for physiotherapists and other members of the multidisciplinary team have a bigger role in preventing and responding to HAP. This presentation will expand and explain the audit findings and provide recommendations to optimise the prevention and management of HAP.
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