"The nurse manager realizes that three clients on the unit have developed ventilator associated pneumonia (VAP) after several months without incident. In order to meet quality standards, the nurse manager should consider which action?"

1. Ask the other units that care for clients on ventilators if they have had an increase in VAP
2. Ask the staff education department to conduct an education session regarding decreasing the incidence of VAP.
3. "Institute a quality improvement plan that identifies contributing factors, solutions, and sets goals for decreasing the incidence of VAP"
4. Show the nurses a chart of increased incidence of VAP and ask them to decrease the incidence