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Jt Comm J Qual Patient Saf. 2005 May;31(5):243-8.

Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia.

Author information

  • 1Mayo School of Medicine, Eau Claire, Wisconsin, USA. Resar.Roger@mayo.edu

Abstract

BACKGROUND:

A "bundle" of ventilator care processes (peptic ulcer disease prophylaxis, deep vein thrombosis prophylaxis, elevation of the head of the bed, and a sedation vacation), which may also reduce ventilator-associated pneumonia (VAP) rates, can serve as a focus for improvement strategies in intensive care units (ICUs). Between July 2002 and January 2004, teams of critical care clinicians from 61 health care organizations participated in a collaborative on improving care in the ICU.

METHODS:

ICU team members posted data monthly on a Web-based extranet and submitted narrative descriptions describing the changes tested and the strategies implemented.

RESULTS:

For the 35 units that consistently collected data on ventilator bundle element adherence and VAP rates, an average 44.5% reduction of VAP was observed.

DISCUSSION:

The goal-oriented nature of the bundle appears to demand development of the teamwork necessary to improve reliability. The observations seem sufficiently robust to support implementing the ventilator bundles to provide a focus for additional change in ICUs.

PMID:
15960014
[PubMed - indexed for MEDLINE]
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