New Collaboration to Study Hospital Acquired Pneumonia (HAP)

Date: 29 March 2019

Female doctor examing xray

The Advancing Quality programme have formed a collaboration with the University of Liverpool to conduct a preliminary study of hospital acquired pneumonia (HAP).

There is very limited data on HAP outside of critical care but NHS surveys estimate that, at any time, 1.5% of hospital inpatients in England have HAP, with two thirds being outside of critical care. HAP is estimated to increase hospital stay by around 8 days and has a reported mortality rate of between 30–70%1.

National guidelines recommend initiating antibiotic therapy upon diagnosis with HAP, within 4 hours1. However, there is currently little evidence on other aspects of HAP management. NICE has issued a research recommendation to explore the potential for rapid microbiological diagnosis of HAP to reduce the use of extended-spectrum antibiotic therapy, without adversely affecting outcomes.

This project aims to address both these aspects and is an important knowledge exchange initiative with both academic and patient benefits. For trusts and their patients this work will help quantify and describe the population with HAP as a precursor to implementing quality improvement projects aimed at reducing incidence, morbidity and mortality. This work will demonstrate that our collaborating hospitals can generate robust data on HAP and this will generate potential for further research into the causes, prevention and treatment of HAP.

In order to undertake this preliminary work we would like to invite trust teams from across the North West of England to participate. AQ will identify the relevant population of patients with HAP from each trust. Data will be collected using our online tool, the Patient Intelligence and Quality System (PIQS) over a 3-month period in the first instance.

Please contact the Advancing Quality team at advancing.quality@nhs.net for more information and if you are interested in participating.

1 National Institute for Health and Care Excellence Pneumonia in adults: diagnosis and management  NICE guideline, 2014

  • Summary:

    The Advancing Quality programme have formed a collaboration with the University of Liverpool to conduct a preliminary study of hospital acquired pneumonia (HAP).

  • Type:
    News
  • Improvement Priorities:
    Delivering High Quality Care
  • Year:
    2019

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