Journal
INTENSIVE CARE MEDICINE
Volume 35, Issue 7, Pages 1180-1186Publisher
SPRINGER
DOI: 10.1007/s00134-009-1461-0
Keywords
Pulmonary nosocomial infections; Critical care organisation
Categories
Ask authors/readers for more resources
Ventilator-associated pneumonia (VAP) is associated with increased morbidity, mortality and costs. We describe an active, multifaceted implementation of a VAP prevention bundle designed to improve staff compliance with evidence-based actions and reduce the incidence of VAP. A 'VAP prevention bundle' was designed then implemented, first passively, then actively, as defined by a multimodal programme incorporating staff education, process measurement and outcome measurement and feedback to staff and organisational change. Compliance with the VAP prevention bundle increased after active implementation. VAP incidence fell significantly from 19.2 to 7.5 per 1,000 ventilator days. Rate difference (99% CI) = 11.6 (2.3-21.0) per 1,000 ventilator days; rate ratio (99% CI) = 0.39 (0.16, 0.96). An active implementation programme increased staff compliance with evidence-based interventions and was associated with a significant reduction in VAP acquisition.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available