RT Journal Article SR Electronic T1 Specialist pneumonia intervention nurse service improves pneumonia care and outcome JF BMJ Open Respiratory Research JO BMJ Open Resp Res FD British Thoracic Society SP e000863 DO 10.1136/bmjresp-2020-000863 VO 8 IS 1 A1 Robert C Free A1 Matthew Richardson A1 Camilla Pillay A1 Kayleigh Hawkes A1 Julie Skeemer A1 Rebecca Broughton A1 Pranabashis Haldar A1 Gerrit Woltmann YR 2021 UL http://bmjopenrespres.bmj.com/content/8/1/e000863.abstract 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.