Using a Bundle Approach to Improve Ventilator Care Processes and Reduce Ventilator-Associated Pneumonia

Resar, Roger K.; Pronovost, Peter J.; Haraden, Carol; Simmonds, Terri; Rainey, Thomas G.; Nolan, Thomas J.

doi:10.1016/s1553-7250(05)31031-2

Cited by 581 publications

(479 citation statements)

References 9 publications

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“…In an effort to prevent VAP, Resar et al (2005) Against this background, the present study investigated VAP-related clinical features of cancer patients and analyzed VAP risk factors. Influential factors, such as causative organisms and infection management, were also studied.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Ventilator-Associated Pneumonia in Cancer Patients

Park

Cho²,

Kwak³

2014

Asian Pacific Journal of Cancer Prevention

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Background: With increasing survival periods and diversification of treatment methods, treatment of critically ill cancer patients has become an important factor influencing patient prognosis. Patients with cancer are at high risk of infections and subsequent complications. This study investigated the incidence and factors contributing to the development of ventilator-associated pneumonia (VAP). Materials and Methods: This retrospective study investigated the incidence of VAP and factors leading to infection in patients admitted to the intensive care unit (ICU) of a cancer center from January 1, 2012 to December 31, 2013. Results: The incidence of VAP was 2.13 cases per 1,000 days of intubation, and 13 of 288 patients (4.5%) developed VAP. Lung cancer was the most common cancer associated with VAP (N=7, 53.9%), and longer hospital stays and intubation were associated with increased VAP incidence. In the group using a "ventilator bundle," the incidence was 1.14 cases per 1,000 days compared to 2.89 cases per 1,000 days without its use; however, this difference was not statistically significant (p=0. The incidence of pneumonia among critically ill cancer patients is highest in those with lung cancer, but lower than among non-cancer patients. The length of hospital stay and time on mechanical ventilation are important risk factors for development of VAP. Although not statistically significant, "ventilator bundle" care is an effective intervention that delays or reduces incidence of VAP. Major risk factors for VAP include age (≥ 65 years), surgery, and tracheostomy, while fungi, gram-negative bacteria, and multidrug-resistant organisms were identified as the major causative pathogens of VAP in this study.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing Ventilator-Associated Pneumonia in Cancer Patients

Park

Cho²,

Kwak³

2014

Asian Pacific Journal of Cancer Prevention

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“…The 2009 NCEPOD report [42], which reviewed the care of all patients (both medical and surgical) who died within 4 days of hospital admission, found neglect of venous thromboembolism and antibiotic prophylaxis, poor fluid and electrolyte management, and poor communication between and within clinical teams, in 13.5% of cases. The use of bundles and checklists are specifically designed to improve the reliable delivery of evidenced based care and there is now a growing body of evidence to demonstrate their efficacy in healthcare [43,44].…”

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confidence: 99%

Emergency surgery in the elderly patient: a quality improvement approach

Peden¹

2011

Anaesthesia

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“…We used the IHI Extranet, which has been developed to support international quality improvement projects over more than 10 years [31] and was already being used by all NHS boards for both the SPSP [30] and the SAPG pneumonia work. Table 3 However, the improvement is not consistent and reliable across all areas.…”

Section: Hospital Indicatorsmentioning

confidence: 99%