PICOT For staff caring for post-operative patients, how will implementation of the ICOUGH bundle and early ambulation affect post-operative pneumonia rates compared to the current practice in 8- 10 weeks?
LEARNER INSTRUCTIONS
WORKING PROJECT TITLE:
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| Project Charter Information | |||||||||||||||
| Project Name | Create a title for your Project Charter. Make the title specific and distinct from other projects so the reader knows the goal and wants to learn more! | ||||||||||||||
| Project Site | Name you approved project site and department within site. | ||||||||||||||
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| Preceptor | Name with credentials:
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| Executive Sponsor | Identify this person by role and title (no names) and briefly describe why this person was selected (rationale for the selection). | ||||||||||||||
| Gap Analysis | Post-operative pneumonia is on a steady rise at the acute care center. Pneumonia contributes to an increased length of stay by 7-9 days, cost, morbidity, and mortality (Livie et al., 2020). Post-pneumonia rates have increased from January 2020 by 1.3% compared to the National Surgical Quality Improvement Program (NSQIP) expected rate of 1.1% (Caparelli et al., 2019). As of the end of 2021, the rate remains at 7.3%, and most of the data will come from abdominal and thoracic surgeries. NSQIP is designed to improve surgical care using risk-adjusted clinical data (Caparelli, 2019). Developing post-operative respiratory complications determines longer hospital stays, morbidity, mortality, and increased healthcare costs. The incidence of post-operative respiratory complications varies from 1% to 23% (Livie et al., 2020). | ||||||||||||||
| Evidence to Support the Need | Pneumonia is a common and severe condition that adversely affects patients’ health and well-being (Halpern, 2017). The situation makes it challenging for patients to breathe. The complications raise questions about gaps within the care system that expose individuals to post-operative pneumonia. In this case, patients are vulnerable to life-threatening symptoms that jeopardize recovery and increase the risk of premature death (Livie, 2020). With over 50,000 Americans dying from pneumonia yearly, it is crucial to design bundles that help the care team identify and intercept errors. Timely interventions protect patients from widespread complications in different parts of the body. Comprehensive treatment in a comfortable environment provides opportunities to identify vulnerable patients and patient-centered measures available to enhance the quality and safety of patient care (Caparelli et al., 2019). | ||||||||||||||
| PICOT | For staff caring for post-operative patients, how will implementation of the ICOUGH bundle and early ambulation affect post-operative pneumonia rates compared to the current practice in 8- 10 weeks? | ||||||||||||||
| Project Aim | The aim is to implement the ICOUGH bundle and early ambulation to prevent post-operative pneumonia. The goal is to avoid the increased length of stay by 7-9 days, increased cost, morbidity, and mortality associated with post-operative pneumonia. Focusing on the health issue is essential based on the need for evidence-based and patient-centered interventions that help create a caring and comfortable environment for everyone. In this case, White Plains can maintain safe and quality patient care based on a timely response to risks within the clinical setting. Notably, reducing post-operative rates to below 1% makes the facility responsive to standards established by the National Surgical Quality Improvement Program (NSQIP). The move strengthens patients’ trust and confidence in the ability of the care team to deliver optimal post-operative care.
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Part II |
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| Stakeholders | |||||||||||||||
| Stakeholder | Identify the key stakeholders for your project. Think of key stakeholders (internal and external). This might include patients/clients, families, community leaders and organizations, health agencies, systems within the organization etc. List between 3-4 potential stakeholder members | ||||||||||||||
| Initials or fictitious name | Title, Role or Affiliati
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