Sustained Reduction of Ventilator-Associated Pneumonia Rates Using Real-Time Course Correction With a Ventilator Bundle Compliance Dashboard
| Autor: | Thomas R. Talbot, Anna Ambrose, Devin Carr, C. Lee Parmley, Barbara J. Martin, Jack Starmer, Barbara Gray |
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| Rok vydání: | 2015 |
| Předmět: |
Microbiology (medical)
Adult Male medicine.medical_specialty Adolescent Epidemiology Dashboard (business) Young Adult Intensive care Medicine Infection control Humans Young adult Intensive care medicine Aged Aged 80 and over Cross Infection Infection Control business.industry Ventilator-associated pneumonia Pneumonia Ventilator-Associated Interrupted Time Series Analysis Middle Aged medicine.disease Respiration Artificial Compliance (physiology) Pneumonia Intensive Care Units Infectious Diseases Bundle Emergency medicine Female Guideline Adherence business |
| Zdroj: | Infection control and hospital epidemiology. 36(11) |
| ISSN: | 1559-6834 0899-823X |
| Popis: | BACKGROUNDThe effectiveness of practice bundles on reducing ventilator-associated pneumonia (VAP) has been questioned.OBJECTIVETo implement a comprehensive program that included a real-time bundle compliance dashboard to improve compliance and reduce ventilator-associated complications.DESIGNBefore-and-after quasi-experimental study with interrupted time-series analysis.SETTINGAcademic medical center.METHODSIn 2007 a comprehensive institutional ventilator bundle program was developed. To assess bundle compliance and stimulate instant course correction of noncompliant parameters, a real-time computerized dashboard was developed. Program impact in 6 adult intensive care units (ICUs) was assessed. Bundle compliance was noted as an overall cumulative bundle adherence assessment, reflecting the percentage of time all elements were concurrently in compliance for all patients.RESULTSThe VAP rate in all ICUs combined decreased from 19.5 to 9.2 VAPs per 1,000 ventilator-days following program implementation (PPCONCLUSIONA prevention program using a real-time bundle adherence dashboard was associated with significant sustained decreases in VAP rates and an increase in bundle compliance among adult ICU patients.Infect. Control Hosp. Epidemiol. 2015;36(11):1261–1267 |
| Databáze: | OpenAIRE |
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