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Implementation of an evidence-based feeding protocol and aspiration risk reduction algorithm.

Amy Bowman·Joseph E Greiner·Kevin C Doerschug·Susan B Little·Cheryl L Bombei·Lynn M Comried
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Abstract

Aspiration pneumonia is a serious complication of mechanical ventilation and enteral tube feedings. It results in increased patient mortality, increased length of hospital stay, and increased healthcare costs. This article describes an evidence-based practice approach to the creation of an enteral feeding protocol and an aspiration risk reduction algorithm. These tools were piloted in a Medical Intensive Care Unit at a Midwest tertiary care center. Chart audits show an increase in the percentage of patients who reach their goal rate for enteral feedings from 78% to 85%. Reported aspiration pneumonias decreased from an average count of 4.8 patients per month to 4.3 per month and ventilator-associated pneumonia rates decreased from 6.8 to 3.2 per 1000 patient days.

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AlgorithmsClinical ProtocolsEnteral NutritionEvidence-Based MedicineHealth Plan ImplementationHumansMidwestern United StatesPneumonia, AspirationProgram EvaluationRespiration, ArtificialRisk ManagementJournal Article

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Amy Bowman, Joseph E Greiner, Kevin C Doerschug, Susan B Little, Cheryl L Bombei, Lynn M Comried. Implementation of an evidence-based feeding protocol and aspiration risk reduction algorithm.. https://doi.org/10.1097/00002727-200510000-00004

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