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Nonventilator hospital-acquired pneumonia: A call to action

Recommendations from the National Organization to Prevent Hospital-Acquired Pneumonia (NOHAP) among nonventilated patients

Published online by Cambridge University Press:  09 June 2021

Shannon C. Munro Open the ORCID record for Shannon C. Munro [Opens in a new window] ,
Dian Baker Open the ORCID record for Dian Baker [Opens in a new window] ,
Karen K. Giuliano ,
Sheila C. Sullivan Open the ORCID record for Sheila C. Sullivan [Opens in a new window] ,
Judith Haber ,
Barbara E. Jones Open the ORCID record for Barbara E. Jones [Opens in a new window] ,
Matthew B. Crist ,
Richard E. Nelson ,
Evan Carey Open the ORCID record for Evan Carey [Opens in a new window]  and
Olivia Lounsbury
...Show all authors
Shannon C. Munro
Affiliation:
Research and Development, Salem Veterans’ Affairs Medical Center, Salem
Dian Baker
Affiliation:
School of Nursing, California State University, Sacramento, California
Karen K. Giuliano
Affiliation:
College of Nursing & Institute for Applied Life Sciences, University of Massachusetts–Amherst, Amherst, Massachusetts
Sheila C. Sullivan
Affiliation:
Research, Evidence Based Practice and Analytics, Office of Nursing Services, Department of Veterans’ Affairs, Washington, DC
Judith Haber
Affiliation:
Oral Health Nursing Education and Practice, Rory Meyers College of Nursing, New York University, New York, New York
Barbara E. Jones
Affiliation:
Pulmonary & Critical Care Medicine, University of Utah, Salt Lake City, Utah Salt Lake City Veterans’ Affairs Healthcare System, Salt Lake City, Utah
Matthew B. Crist
Affiliation:
Division of Health Care Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Richard E. Nelson
Affiliation:
Division of Epidemiology, University of Utah School of Medicine, Salt Lake City, Utah George E. Wahlen Department of Veterans’ Affairs Medical Center, Salt Lake City, Utah
Evan Carey
Affiliation:
Research and Development, Rocky Mountain Regional Veterans’ Affairs Medical Center, Aurora, Colorado
Olivia Lounsbury
Affiliation:
Patient Safety Movement Foundation, Irvine, California
Michelle Lucatorto
Affiliation:
Office of Nursing Services, Department of Veterans’ Affairs, Washington, DC
Ryan Miller
Affiliation:
Office of Nursing Services, Department of Veterans’ Affairs, Washington, DC
Brian Pauley
Affiliation:
Geriatrics & Extended Care, Veterans’ Affairs Pacific Islands Healthcare System, Honolulu, Hawaii
Michael Klompas*
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston Department of Medicine, Brigham and Women’s Hospital, Boston
*
Author for correspondence: Michael Klompas, E-mail: mklompas@bwh.harvard.edu
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Executive summary

In 2020 a group of U.S. healthcare leaders formed the National Organization to Prevent Hospital-Acquired Pneumonia (NOHAP) to issue a call to action to address non–ventilator-associated hospital-acquired pneumonia (NVHAP). NVHAP is one of the most common and morbid healthcare-associated infections, but it is not tracked, reported, or actively prevented by most hospitals. This national call to action includes (1) launching a national healthcare conversation about NVHAP prevention; (2) adding NVHAP prevention measures to education for patients, healthcare professionals, and students; (3) challenging healthcare systems and insurers to implement and support NVHAP prevention; and (4) encouraging researchers to develop new strategies for NVHAP surveillance and prevention. The purpose of this document is to outline research needs to support the NVHAP call to action. Primary needs include the development of better models to estimate the economic cost of NVHAP, to elucidate the pathophysiology of NVHAP and identify the most promising pathways for prevention, to develop objective and efficient surveillance methods to track NVHAP, to rigorously test the impact of prevention strategies proposed to prevent NVHAP, and to identify the policy levers that will best engage hospitals in NVHAP surveillance and prevention. A joint task force developed this document including stakeholders from the Veterans’ Health Administration (VHA), the U.S. Centers for Disease Control and Prevention (CDC), The Joint Commission, the American Dental Association, the Patient Safety Movement Foundation, Oral Health Nursing Education and Practice (OHNEP), Teaching Oral-Systemic Health (TOSH), industry partners and academia.

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Type
Commentary
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 8 , August 2021 , pp. 991 - 996
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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