Successful Use of Noninvasive Ventilation in Chronic Obstructive Pulmonary Disease. How Do High-Performing Hospitals Do It?

ABSTRACT:

Rationale

Noninvasive ventilation (NIV) is a cornerstone of treatment for patients with severe exacerbations of chronic obstructive pulmonary disease (COPD), where it has been shown to reduce the need for intubation, hospital length of stay, and mortality. Despite high-quality evidence and strong recommendations in clinical guidelines, use of NIV varies widely across hospitals.

Objectives

To identify approaches used by hospitals that have been successful in implementing NIV to treat patients with severe exacerbations of COPD.

Methods

Adopting a positive deviance approach, in-depth interviews were conducted with key stakeholders from a sample of high-performing hospitals selected from a large and representative network of 386 U.S. hospitals. High performers were define

SUBMITTER: Fisher KA 

PROVIDER: S-EPMC5711277 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature