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dc.contributor.authorHolibaugh, Adam Russell
dc.date.accessioned2017-04-13T01:25:40Z
dc.date.issued2013
dc.date.submitted2013
dc.identifier.urihttps://hdl.handle.net/2144/21176
dc.descriptionThesis (M.A.) PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
dc.description.abstractHospital acquired pneumonia (HAP) causes significant mortality and morbidity and is now no longer reimbursed by Centers for Medicare and Medicaid (CMS). For all of these reasons, hospitals want to minimize their HAP rates. Aggressive oral care (tooth brushing 3 times a day) has been shown to reduce the incidence of HAP in the intensive care unit setting, but this has not been tested in the acute care setting, in which patients are more stable, less sick, and more ambulatory. In an attempt to address HAP rates in acute care settings, this clinical trial entailed providing all patients in four wards with a 3 times per day tooth-brushing oral care protocol, which was implemented or supervised by the nurses on each ward. Six matched wards on a separate campus that received normal standard of care served as controls. The goal of this clinical trial was to cut the pneumonia rate in half, from 2% to 1%. This clinical trial was conducted to determine whether an oral care regimen would reduce the incidence of aspiration pneumonia over the three months of intervention in the experimental group (HAC) versus the control group (ENC) from Nov 5, 2012 to Feb 15, 2013.
dc.language.isoen_US
dc.publisherBoston University
dc.subjectMedicine
dc.subjectOtolaryngology
dc.subjectHospital acquired pneumonia
dc.titleReducing inpatient hospital acquired pneumonia (HAP) using a structured oral care program
dc.typeThesis/Dissertation
dc.description.embargo2031-01-01
etd.degree.nameMaster of Arts
etd.degree.levelmasters
etd.degree.disciplineOtolaryngology
etd.degree.grantorBoston University


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