Are you striving to improve ventilator-associated pneumonia (VAP) guideline adherence in your unit? Kiyoshi-Teo and colleagues surveyed 576 critical care nurses in 8 hospitals to identify factors that influence adherence to guidelines for prevention of VAP. From their findings, consider the following:

Those working to implement guidelines need to consider the perceptions of the users of the guidelines when developing strategies for implementation.

—Elisabeth George, rn, phd

See Article, pp 201–215

Are electromagnetic feeding tube placement devices effective in detecting inadvertent respiratory placement? Metheny and Meert did a comprehensive and descriptive analysis of peer-reviewed, published studies and voluntarily reported events to the US Food and Drug Administration (FDA) over a 6-year period from 2007 through 2012. The results indicated that successful placement of a feeding tube using an ETP device was enhanced by the following:

Conversely, of 21 events involving ETP devices in the FDA database, they found:

Patient safety...

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