staffing level a determinant of late-onset ventilator-associated pneumonia人员编制与机械通气相关肺炎晚发性的决定因素.pdfVIP
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staffing level a determinant of late-onset ventilator-associated pneumonia人员编制与机械通气相关肺炎晚发性的决定因素
Available online /content/11/4/154
Commentary
Staffing level: a determinant of late-onset ventilator-associated
pneumonia
Jeannie P Cimiotti
University of Pennsylvania School of Nursing, Center for Health Outcomes and Policy Research, Philadelphia, Pennsylvania 19104-6096, USA
Corresponding author: Jeannie P Cimiotti, jcimiott@
Published: 8 August 2007 Critical Care 2007, 11:154 (doi:10.1186/cc6085)
This article is online at /content/11/4/154
© 2007 BioMed Central Ltd
See related research by Hugonnet et al., /content/11/4/R80
Abstract measures, such as the presence or absence of mouth care
A body of knowledge exists to suggest an association between [5,6], which is a potential risk factor for VAP. In addition, I am
nurse staffing and adverse patient outcomes. Hugonnet and surprised that the authors did not include hand hygiene as a
colleagues add further evidence by linking nurse staffing to late- risk factor of interest, because there is a well established link
onset ventilator-associated pneumonia. Discussed are a number of between hand hygiene and health care associated infections,
concerns surrounding the analytic component of this study, and one that the authors have worked with extensively [7,8].
including the construction of variables and the statistical models.
The authors’ estimation that hospitals maintaining a nurse-to-
patient ratio above 2.2 could decrease the risk of health care The authors painstakingly constructed a comprehensive risk
associated infections is based on findings that are potentially adjustment model that includes, but is not
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