Table 1. An overview of the implemented interventions.
Site 1 | Site 2 | Site 3 | ||
---|---|---|---|---|
Technical interventions | ||||
Educational activities | ||||
Repeated hands-on training in tracheal suction for physicians | x | x | ||
Repeated hands-on training in tracheal suction for nurses | x | x | ||
Repeated hands-on training in sputum induction by nurses | x | |||
Non-technical interventions | ||||
Educational activities | ||||
Repeated education of physicians at the relevant departments | x | x | x | |
Repeated education of nurses at the relevant departments | x | x | x | |
Personal face-to-face feedback to physicians | x | |||
Personal feedback to physicians via email | x | |||
Personal feedback to physicians via the feedback option in the health record system | x | |||
Educational material | ||||
Standardised PowerPoint presentations on CAP | x | x | x | |
Pocket cards on CAP | x | x | x | |
Regular newsletter distribution | x | x | x | |
Posters on guideline-based CAP treatment at the departments | x | |||
Process improvements | ||||
Authorising triage nurses to order X-rays | x | |||
Authorising triage nurses to order LRTS | x | x | ||
MCS and PCR for atypical bacteria analysed using the same LRTS | x | x | ||
CURB-65 as a standard phrase in the EHRS | x | x | x | |
Order sets for CAP in the EHRS | x | x | x |
Abbreviations: CAP: community-acquired pneumonia; LRTS: lower respiratory tract sample; MCS: microscopy, culture, sensitivity; PCR: polymerase chain reaction; EHRS: electronic health record system.