Bundle Care for Preventing Ventilator-associated Pneumonia at a Medical Center: A Preliminary Report

Joyce Kee Hsin Chen, Tzu Hsuan Chen, Hsueh Erh Sarah Liu, Ching Chiu Kao, Chieh Feng Cliff Chen, Tsong Yi Ou, Pei Chuan Tseng, Ken N. Kuo, Wen Sen Lee

研究成果: 雜誌貢獻文章

摘要

Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in intensive care units (ICUs). Ventilator-associated pneumonia occurs in a considerable proportion of patients undergoing mechanical ventilation and is associated with substantial morbidity, mortality, and excess cost. Therefore, strategies that effectively prevent VAP are urgently needed. Methods: Patients admitted between January 1, 2010 and December 31, 2012 were investigated prospectively for VAP. Patients who were admitted to medical and surgical ICUs required more than 48 hours of mechanical ventilation. To develop evidence-based recommendations for VAP bundle care, we organized a multidisciplinary team that included administrators, infection control professionals, clinicians, and nursing informatics specialists. By April 1, 2011, the VAP bundle care interventions were implemented, and integrated into a clinical informatics system for reminding clinicians to promote compliance in bundle care. Results: After implementing VAP bundle care, the incidence of VAP decreased from 1.5% to 0% in both ICUs. The average overall patient-ventilator days were decreased from 1301 person-days per month to 1213 person-days per month in both ICUs. Conclusion: Based on our experience, we found that implementing VAP bundle care decreased ventilator days and the incidence of VAP.
原文英語
頁(從 - 到)157-160
頁數4
期刊Journal of Experimental and Clinical Medicine(Taiwan)
6
發行號5
DOIs
出版狀態已發佈 - 十月 2014

指紋

Patient Care Bundles
Ventilator-Associated Pneumonia
Intensive Care Units
Mechanical Ventilators
Artificial Respiration
Nursing Informatics
Medical Informatics
Incidence
Critical Care
Infection Control
Cross Infection
Administrative Personnel
Compliance

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Bundle Care for Preventing Ventilator-associated Pneumonia at a Medical Center : A Preliminary Report. / Chen, Joyce Kee Hsin; Chen, Tzu Hsuan; Liu, Hsueh Erh Sarah; Kao, Ching Chiu; Chen, Chieh Feng Cliff; Ou, Tsong Yi; Tseng, Pei Chuan; Kuo, Ken N.; Lee, Wen Sen.

於: Journal of Experimental and Clinical Medicine(Taiwan), 卷 6, 編號 5, 10.2014, p. 157-160.

研究成果: 雜誌貢獻文章

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abstract = "Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in intensive care units (ICUs). Ventilator-associated pneumonia occurs in a considerable proportion of patients undergoing mechanical ventilation and is associated with substantial morbidity, mortality, and excess cost. Therefore, strategies that effectively prevent VAP are urgently needed. Methods: Patients admitted between January 1, 2010 and December 31, 2012 were investigated prospectively for VAP. Patients who were admitted to medical and surgical ICUs required more than 48 hours of mechanical ventilation. To develop evidence-based recommendations for VAP bundle care, we organized a multidisciplinary team that included administrators, infection control professionals, clinicians, and nursing informatics specialists. By April 1, 2011, the VAP bundle care interventions were implemented, and integrated into a clinical informatics system for reminding clinicians to promote compliance in bundle care. Results: After implementing VAP bundle care, the incidence of VAP decreased from 1.5{\%} to 0{\%} in both ICUs. The average overall patient-ventilator days were decreased from 1301 person-days per month to 1213 person-days per month in both ICUs. Conclusion: Based on our experience, we found that implementing VAP bundle care decreased ventilator days and the incidence of VAP.",
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T2 - A Preliminary Report

AU - Chen, Joyce Kee Hsin

AU - Chen, Tzu Hsuan

AU - Liu, Hsueh Erh Sarah

AU - Kao, Ching Chiu

AU - Chen, Chieh Feng Cliff

AU - Ou, Tsong Yi

AU - Tseng, Pei Chuan

AU - Kuo, Ken N.

AU - Lee, Wen Sen

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AB - Background: Ventilator-associated pneumonia (VAP) is a very common nosocomial infection in intensive care units (ICUs). Ventilator-associated pneumonia occurs in a considerable proportion of patients undergoing mechanical ventilation and is associated with substantial morbidity, mortality, and excess cost. Therefore, strategies that effectively prevent VAP are urgently needed. Methods: Patients admitted between January 1, 2010 and December 31, 2012 were investigated prospectively for VAP. Patients who were admitted to medical and surgical ICUs required more than 48 hours of mechanical ventilation. To develop evidence-based recommendations for VAP bundle care, we organized a multidisciplinary team that included administrators, infection control professionals, clinicians, and nursing informatics specialists. By April 1, 2011, the VAP bundle care interventions were implemented, and integrated into a clinical informatics system for reminding clinicians to promote compliance in bundle care. Results: After implementing VAP bundle care, the incidence of VAP decreased from 1.5% to 0% in both ICUs. The average overall patient-ventilator days were decreased from 1301 person-days per month to 1213 person-days per month in both ICUs. Conclusion: Based on our experience, we found that implementing VAP bundle care decreased ventilator days and the incidence of VAP.

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