Using Evidence-Based Practice to Prevent Ventilator-Associated Pneumonia

Sedwick, Mary Beth; Lance-Smith, Mary; Reeder, Sara Jones; Nardi, Jessica

doi:10.4037/ccn2012964

Cited by 54 publications

(74 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…McNamara et al have recently described a similar approach to collecting compliance data via automated CIS queries; however, they were not able to demonstrate clinically and statistically significant changes in CRBSI rates after implementing the system (McNamara et al , ). Real‐time electronic feedback has been shown to increase compliance from 20% to 90% in a recent study aiming at reduction of VAP in the ICU (Sedwick et al , ) and it is argued that automated feedback is the most reliable driver of change.…”

Section: Discussionmentioning

confidence: 99%

Improving compliance with central venous catheter care bundles using electronic records

Hermon

Pain

Beckett

et al. 2015

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Improving compliance with central venous catheter care bundles using electronic records

Hermon

Pain

Beckett

et al. 2015

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

“…[20] The ventilator bundle is believed to improve the outcome of ICU patients with VAP by setting priority, standardizing patient care, promoting adherence, and enhancing reliability and accountability. [2122] On the other hand, some reports failed to show decline in VAP rate after implementation of IHI ventilator bundle. [23]…”

Section: Discussionmentioning

confidence: 99%

Association of compliance of ventilator bundle with incidence of ventilator-associated pneumonia and ventilator utilization among critical patients over 4 years

Althaqafy¹,

El-Saed²,

Arabi³

et al. 2014

Ann Thorac Med

View full text Add to dashboard Cite

BACKGROUND:Several studies showed that the implementation of the Institute for Healthcare Improvement (IHI) ventilator bundle alone or with other preventive measures are associated with reducing Ventilator-Associated Pneumonia (VAP) rates. However, the association with ventilator utilization was rarely examined and the findings were conflicting. The objectives were to validate the bundle association with VAP rate in a traditionally high VAP environment and to examine its association with ventilator utilization.MATERIALS AND METHODS:The study was conducted at the adult medical-surgical intensive care unit (ICU) at King Abdulaziz Medical City, Saudi Arabia, between 2010 and 2013. VAP data were collected by a prospective targeted surveillance as per Centers for Disease Control and Prevention (CDC)/National Healthcare Safety Network (NHSN) methodology while bundle data were collected by a cross-sectional design as per IHI methodology.RESULTS:Ventilator bundle compliance significantly increased from 90% in 2010 to 97% in 2013 (P for trend < 0.001). On the other hand, VAP rate decreased from 3.6 (per 1000 ventilator days) in 2010 to 1.0 in 2013 (P for trend = 0.054) and ventilator utilization ratio decreased from 0.73 in 2010 to 0.59 in 2013 (P for trend < 0.001). There were negative significant correlations between the trends of ventilator bundle compliance and VAP rate (cross-correlation coefficients −0.63 to 0.07) and ventilator utilization (cross-correlation coefficients −0.18 to −0.63).CONCLUSION:More than 70% improvement of VAP rates and approximately 20% improvement of ventilator utilization were observed during IHI ventilator bundle implementation among adult critical patients in a tertiary care center in Saudi Arabia. Replicating the current finding in multicenter randomized trials is required before establishing any causal link.

show abstract

“…Consistent with the literature, the value of the standardized process is increased with the use of multiple methods to reinforce knowledge and compliance. 7,9,11,15 Concurrent reviews were completed by unit leadership during the initial stages of project implementation. Commendation for compliance and "in the moment" coaching occurred during this time to prevent any possible noncompliance.…”

Section: Discussionmentioning

confidence: 99%

Creating a Standardized Process to Meet Core Measure Compliance

Kwan

Daniels²,

Ryan³

et al. 2015

Journal of Nursing Care Quality

View full text Add to dashboard Cite

A standardized process to improve compliance with venous thromboembolism prophylaxis and hospital-based inpatient psychiatric services Core Measures was developed, implemented, and evaluated by a clinical nurse specialist team. The use of a 1-page tool with the requirements and supporting evidence, combined with concurrent data and feedback, ensured success of improving compliance. The initial robust process of education and concurrent and retrospective review follow-up allowed for this process to be successful.

show abstract

Using Evidence-Based Practice to Prevent Ventilator-Associated Pneumonia

Abstract: Strict adherence to bundled practices for preventing ventilator-associated pneumonia, enhanced accountability for initiating protocols, use of a feedback system, and interdisciplinary collaboration improved patients' outcomes and produced marked savings in costs.

Cited by 54 publications

References 30 publications

Improving compliance with central venous catheter care bundles using electronic records

Improving compliance with central venous catheter care bundles using electronic records

Association of compliance of ventilator bundle with incidence of ventilator-associated pneumonia and ventilator utilization among critical patients over 4 years

Creating a Standardized Process to Meet Core Measure Compliance

Contact Info

Product

Resources

About