부산대학교 도서관

The quality of medical service is closely related to the ways of treatments and care delivered to the patients. Procedure based research is vital for improving the quality of medical service. The frequency of replacing ventilator tubing is one of the most important factors related to the occurrence of ventilated associated pneumonia (VAP), however limited evidence was appeared in the previous documents. This study aims to investigate the effect of ventilating tubing replacement on the quality and cost of medical care. A total of 60 patients admitted to the respiratory care center of a medical center were evenly randomized to groups of experiment and control. The occurrence of lower respiratory tract infections, hospital stays, and medical consumptions were collected during the study period. The baseline information including age, sex, hemodialysis, and tracheostomy were not statistically significant between experimental groups. The comparison between experiment group and control group on ventilated associated pneumonia (2.1/1,000 vs 1.1/1,000), RCC stay (33.7 ± 29.18 days vs 33.87 ± 21.73days), and RCC medical consumptions (632,194.36 ± 465,062.12 NTD vs 635,702.33 ± 356,923.82 NTD) failed to show statistical significance. None routine replacement of ventilating tubing had shown to be lower in medical consumables and personnel works. The study has demonstrated that non-routine replacement of ventilating tubing can reduce medical cost, increase efficiency, and contain infections under global budget. Therefore, a recommendation of non-routine replacement of ventilating tubing in ventilating care center is made from this study.