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Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria

OBJECTIVE: Implementation of ventilator associated pneumonia (VAP) bundle as a performance improvement project in the critical care units for all mechanically ventilated patients aiming to decrease the VAP rates. MATERIALS AND METHODS: VAP bundle was implemented in 4 teaching hospitals after educati...

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Autores principales: Alsadat, Reem, Al-Bardan, Hussam, Mazloum, Mona N., Shamah, Asem A., Eltayeb, Mohamed F. E., Marie, Ali, Dakkak, Abdulrahman, Naes, Ola, Esber, Faten, Betelmal, Ibrahim, Kherallah, Mazen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3696204/
https://www.ncbi.nlm.nih.gov/pubmed/23826553
http://dx.doi.org/10.4103/2231-0770.110736
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author Alsadat, Reem
Al-Bardan, Hussam
Mazloum, Mona N.
Shamah, Asem A.
Eltayeb, Mohamed F. E.
Marie, Ali
Dakkak, Abdulrahman
Naes, Ola
Esber, Faten
Betelmal, Ibrahim
Kherallah, Mazen
author_facet Alsadat, Reem
Al-Bardan, Hussam
Mazloum, Mona N.
Shamah, Asem A.
Eltayeb, Mohamed F. E.
Marie, Ali
Dakkak, Abdulrahman
Naes, Ola
Esber, Faten
Betelmal, Ibrahim
Kherallah, Mazen
author_sort Alsadat, Reem
collection PubMed
description OBJECTIVE: Implementation of ventilator associated pneumonia (VAP) bundle as a performance improvement project in the critical care units for all mechanically ventilated patients aiming to decrease the VAP rates. MATERIALS AND METHODS: VAP bundle was implemented in 4 teaching hospitals after educational sessions and compliance rates along with VAP rates were monitored using statistical process control charts. RESULTS: VAP bundle compliance rates were steadily increasing from 33 to 80% in hospital 1, from 33 to 86% in hospital 2 and from 83 to 100% in hospital 3 during the study period. The VAP bundle was not applied in hospital 4 therefore no data was available. A target level of 95% was reached only in hospital 3. This correlated with a decrease in VAP rates from 30 to 6.4 per 1000 ventilator days in hospital 1, from 12 to 4.9 per 1000 ventilator days in hospital 3, whereas VAP rate failed to decrease in hospital 2 (despite better compliance) and it remained high around 33 per 1000 ventilator days in hospital 4 where VAP bundle was not implemented CONCLUSION: VAP bundle has performed differently in different hospitals in our study. Prevention of VAP requires a multidimensional strategy that includes strict infection control interventions, VAP bundle implementation, process and outcome surveillance and education.
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spelling pubmed-36962042013-07-03 Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria Alsadat, Reem Al-Bardan, Hussam Mazloum, Mona N. Shamah, Asem A. Eltayeb, Mohamed F. E. Marie, Ali Dakkak, Abdulrahman Naes, Ola Esber, Faten Betelmal, Ibrahim Kherallah, Mazen Avicenna J Med Original Article OBJECTIVE: Implementation of ventilator associated pneumonia (VAP) bundle as a performance improvement project in the critical care units for all mechanically ventilated patients aiming to decrease the VAP rates. MATERIALS AND METHODS: VAP bundle was implemented in 4 teaching hospitals after educational sessions and compliance rates along with VAP rates were monitored using statistical process control charts. RESULTS: VAP bundle compliance rates were steadily increasing from 33 to 80% in hospital 1, from 33 to 86% in hospital 2 and from 83 to 100% in hospital 3 during the study period. The VAP bundle was not applied in hospital 4 therefore no data was available. A target level of 95% was reached only in hospital 3. This correlated with a decrease in VAP rates from 30 to 6.4 per 1000 ventilator days in hospital 1, from 12 to 4.9 per 1000 ventilator days in hospital 3, whereas VAP rate failed to decrease in hospital 2 (despite better compliance) and it remained high around 33 per 1000 ventilator days in hospital 4 where VAP bundle was not implemented CONCLUSION: VAP bundle has performed differently in different hospitals in our study. Prevention of VAP requires a multidimensional strategy that includes strict infection control interventions, VAP bundle implementation, process and outcome surveillance and education. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3696204/ /pubmed/23826553 http://dx.doi.org/10.4103/2231-0770.110736 Text en Copyright: © Avicenna Journal of Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Alsadat, Reem
Al-Bardan, Hussam
Mazloum, Mona N.
Shamah, Asem A.
Eltayeb, Mohamed F. E.
Marie, Ali
Dakkak, Abdulrahman
Naes, Ola
Esber, Faten
Betelmal, Ibrahim
Kherallah, Mazen
Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title_full Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title_fullStr Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title_full_unstemmed Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title_short Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria
title_sort use of ventilator associated pneumonia bundle and statistical process control chart to decrease vap rate in syria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3696204/
https://www.ncbi.nlm.nih.gov/pubmed/23826553
http://dx.doi.org/10.4103/2231-0770.110736
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