Process Monitoring
To monitor the key process indicator, an increase in
protocol-standard oral care, we designed an audit tool
that included direct observations and chart review. Observational
and chart audits took place across the hospital
on 11 separate units for a total 110 patient audits each
month. In addition, each month, the electronic record
was queried for all adult cases of pneumonia, not present
on admission. Identified cases of NV-HAP were then reviewed
to ensure they met the CDC definition of NVHAP