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Table 2 Results of the pilot study– health care facilities

From: Development and pilot-testing of an evidence-based quality indicator set for home mechanical ventilation care: the OVER-BEAS project

Health care facility

1

2

3

4

5

Type of health care facility$

SLC

SLC

SLC

SLC

SLC

Number of

Patients

8

4

7

5

6

Invasive ventilated

2

2

2

1

0

Non-invasive ventilated

0

0

1

4

1

Nursing assistants

0

0

0

2

3

Nursing specialists

20

10

17

20

17

Respiratory therapist

1

 

1

0

0

Nursing specialists for anaesthesia and intensive care

1

2

1

2

3

Nursing specialists with professional experience in mechanical ventilation

18

10

14

13

5

Nursing specialist with additional qualification

20

8

5

7

11

Nursing specialists taking part in regular emergency training

20

10

17

22

17

Mean number of nursing specialist per working shift in the facility

3

2

4

2

2

Therapists*

5

2

4

3

 

Language and speech therapists*

1

0

1

1

 

Occupational therapists*

2

1

1

1

 

Physiotherapists*

2

1

2

1

 

Participation in external quality circles

no

no

yes

yes

yes

How often in

Q1

  

1

1

1

Q2

  

1

1

0

Q3

  

1

1

1

Q4

  

0

1

0

Multidisciplinary case conferences

yes, twice per year

no

yes

yes

yes, if required

How often in

Jan

  

0

1

 

Feb

  

1

1

 

Mar

  

0

1

 

Apr

  

0

1

 

May

  

1

1

 

Jun

  

0

1

 

Jul

  

0

1

 

Aug

  

1

1

 

Sep

  

0

1

 

Oct

  

0

1

 

Nov

  

1

1

 

Dec

  

0

1

 

Participating professions

nurses, general practitioner, (respiratory) therapists

 

nurses, general practitioner, (respiratory) therapists language and speech therapists

nurses - other professions are involved if necessary

nurses, general practitioner, mechanical ventilation provider, language and speech therapist (external)

Standardised tools for early detection of complications

Documentation of defecation

yes

yes

yes

yes

yes

Wound documentation

yes

yes

yes

yes

yes

Temperature measurement

yes

yes

yes

yes

yes

Documentation of vital signs

yes

yes

yes

yes

yes

Documentation of oxygen saturation

yes

yes

yes

yes

yes

Documentation of pain

yes

yes

yes

yes

yes

Documentation of fear

yes

no

no

no

yes

Documentation of hyperventilation

yes

no

yes

yes

yes

Documentation of anomalies

yes

no

yes

yes

yes

Other

   

Respiratory parameters

 

SOP for handling complications

yes

no

yes

yes

yes

Contact info available

relative/ attendant, general practitioner, anaesthetist, mechanical ventilation provider

relative/ attendant, general practitioner, mechanical ventilation provider

relative/ attendant, general practitioner, anaesthetist, mechanical ventilation provider

relative/ attendant, general practitioner, anaesthetist/ pulmonologist, responsible weaning centre, mechanical ventilation provider

relative/ attendant, general practitioner, anaesthetist/ pulmonologist, mechanical ventilation provider

Evaluated emergency plan

Fire

yes

yes

yes

yes

yes

Evacuation

yes

yes

yes

yes

yes

Power failure

yes

no

yes

yes

yes

Staff shortage

yes

no

yes

yes

yes

Emergency set available for every patients

yes

no

yes

yes

yes

Annual emergency training

yes

yes

yes

yes

yes

Hygiene plan/ SOP for infection prevention

yes

yes

yes

yes

yes

Nursing specialist as hygiene agent

yes

yes

yes

yes

yes

Annual training regarding hygiene

yes

yes

yes

yes

yes

Availability of an endoscope for swallowing diagnostics

no

no

no

yes

yes

Consultation for social participation

yes

no

yes

yes

yes

Offer of social participation

yes

yes

no

yes

yes

Number of day care attendants

0

1

0

2

2

If there is no day care attendant, does a nurse take on this part?

yes

 

yes

yes

yes

Regular assessment of quality of life

no

no

no

no

no

If yes, which instrument is used

     

Number of invasive ventilated patients, that had to be transferred due to acute hospitalisation within the past 12 months

0

2

0

4

0

Number of invasive ventilated patients, that have been transferred due to acute hospitalisation within the past 12 months within a structured process

0

0

1

4

0

  1. $HC = home care, SLC = shared living community/ * All therapists are extern and not directly employed by the health care facilities