Implementation of a Real-time Compliance Dashboard to Help Reduce SICU Ventilator-Associated Pneumonia With the Ventilator Bundle

Abstract

Implementation of an electronic dashboard improved compliance with ventilator bundle measures and is associated with reduced rates of VAP in our SICU.

Dashboards for improving patient care: Review of the literature

“…One of the studies was a cluster randomized controlled trial, designed to evaluate the effect of introducing the dashboard on patient outcomes [28]. Two studies used an interrupted time series design to monitor the effect of introducing the dashboard on outcomes over time [32,33]. Other study designs included before-after studies [34][35][36], non-comparative evaluations [37,38], questionnaire surveys of users of dashboards [2,39] and a usability study [40].…”

“…Overall one study was rated as being of high quality [33], four as being fair-good quality [28,32,35,40] and five as low quality [2,34,[37][38][39]. The kappa coefficient between the two raters was 0.92 (95% CI 0.82-1.00) indicating very good agreement.…”

“…The kappa coefficient between the two raters was 0.92 (95% CI 0.82-1.00) indicating very good agreement. The one cluster randomized trial was rated as fair-good quality [28], and of the two ITS study designs one was rated as high quality and the other as fair-good quality [32,33]. Four of the studies were carried out in primary care settings [28,34,37,40], with the users of dashboards being primary care physicians (n=3) and patient navigators (n=1).…”

“…Four of the studies were carried out in primary care settings [28,34,37,40], with the users of dashboards being primary care physicians (n=3) and patient navigators (n=1). Two of the studies appeared to be evaluating the same dashboard for ventilator management introduced into an intensive care unit (ICU) [33,36]. Other clinical areas included the Emergency Department [39] and mental health services [2].…”

“…provision of information to reduce inappropriate prescribing of antibiotics [28,39] or ensure appropriate prescribing of antibiotics [32]; monitoring of adherence to best practices for managing chronic conditions [37,40] or adherence to the ventilator bundle in ICU [33,36]; improvements in the timeliness of radiology reporting [35]; improving monitoring of potential medication adverse events [38] and for improving information about provision of mental health services [2].…”