PT  - JOURNAL ARTICLE
AU  - Free, Robert C
AU  - Richardson, Matthew
AU  - Pillay, Camilla
AU  - Hawkes, Kayleigh
AU  - Skeemer, Julie
AU  - Broughton, Rebecca
AU  - Haldar, Pranabashis
AU  - Woltmann, Gerrit
TI  - Specialist pneumonia intervention nurse service improves pneumonia care and outcome
AID  - 10.1136/bmjresp-2020-000863
DP  - 2021 Aug 01
TA  - BMJ Open Respiratory Research
PG  - e000863
VI  - 8
IP  - 1
4099  - http://bmjopenrespres.bmj.com/content/8/1/e000863.short
4100  - http://bmjopenrespres.bmj.com/content/8/1/e000863.full
SO  - BMJ Open Resp Res2021 Aug 01; 8
AB  - Background A specialist pneumonia intervention nursing (SPIN) service was set up across a single National Health Service Trust in an effort to improve clinical outcomes. A quality improvement evaluation was performed to assess the outcomes associated with implementing the service before (2011–2013) and after (2014–2016) service implementation.Results The SPIN service reviewed 38% of community-acquired pneumonia (CAP) admissions in 2014–2016. 82% of these admissions received antibiotic treatment in <4 hours (68.5% in the national audit). Compared with the pre-SPIN period, there was a significant reduction in both 30-day (OR=0.77 (0.70–0.85), p<0.0001) and in-hospital (OR=0.66 (0.60–0.73), p<0.0001) mortality after service implementation, with a review by the service showing the largest independent 30-day mortality benefit (HR=0.60 (0.53–0.67), p<0.0001). There was no change in length of stay (median 6 days).Conclusion Implementation of a SPIN service improved adherence to BTS guidelines and achieved significant reductions in CAP-associated mortality. This enhanced model of care is low cost, highly effective and readily adoptable in secondary care.No data are available. This manuscript was the result of a service improvement exercise. Consequently, we do not have ethical approval to share the data used to produce the conclusions in this paper.