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Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia
Care bundles promote delivery of effective care and improve patient outcomes. The understanding of how to improve delivery of care bundles is incomplete. The Scottish Patient Safety Programme is a national collaborative with the aim of improving the delivery of care to patients in acute hospitals in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645939/ https://www.ncbi.nlm.nih.gov/pubmed/26734371 http://dx.doi.org/10.1136/bmjquality.u207660.w3069 |
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author | Daniel, Malcolm Booth, Malcolm Ellis, Kirsteen Maher, Shaun Longmate, Andrew |
author_facet | Daniel, Malcolm Booth, Malcolm Ellis, Kirsteen Maher, Shaun Longmate, Andrew |
author_sort | Daniel, Malcolm |
collection | PubMed |
description | Care bundles promote delivery of effective care and improve patient outcomes. The understanding of how to improve delivery of care bundles is incomplete. The Scottish Patient Safety Programme is a national collaborative with the aim of improving the delivery of care to patients in acute hospitals in Scotland. Critical care is one of five workstreams in the programme. A programme goal is to reduce incidence of ventilator-associated pneumonia (VAP) to zero or 300 calendar days between events through use of a VAP Prevention bundle. We studied two ICUs participating in this programme. Each ICU had established infection surveillance system prior to the programme starting. Both units had an appreciable incidence of VAP. Initial VAP prevention bundle adherence was low in each ICU (35% and 41%). Comparing time periods before and after 80% bundle VAP prevention bundle adherence was achieved showed a similar reduction in VAP incidence (from 6.9 to 1.0, and from 7.8 to 1.4/1000 ventilation days). When compared each ICU used common and contrasting approaches to accomplish this improvement. We describe the five improvement knowledge systems used to improve bundle adherence to bundle elements in each hospital. The insights gained from these front-line clinical teams can be used as a template for improvement efforts in a variety of other healthcare settings. |
format | Online Article Text |
id | pubmed-4645939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | British Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-46459392016-01-05 Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia Daniel, Malcolm Booth, Malcolm Ellis, Kirsteen Maher, Shaun Longmate, Andrew BMJ Qual Improv Rep BMJ Quality Improvement Programme Care bundles promote delivery of effective care and improve patient outcomes. The understanding of how to improve delivery of care bundles is incomplete. The Scottish Patient Safety Programme is a national collaborative with the aim of improving the delivery of care to patients in acute hospitals in Scotland. Critical care is one of five workstreams in the programme. A programme goal is to reduce incidence of ventilator-associated pneumonia (VAP) to zero or 300 calendar days between events through use of a VAP Prevention bundle. We studied two ICUs participating in this programme. Each ICU had established infection surveillance system prior to the programme starting. Both units had an appreciable incidence of VAP. Initial VAP prevention bundle adherence was low in each ICU (35% and 41%). Comparing time periods before and after 80% bundle VAP prevention bundle adherence was achieved showed a similar reduction in VAP incidence (from 6.9 to 1.0, and from 7.8 to 1.4/1000 ventilation days). When compared each ICU used common and contrasting approaches to accomplish this improvement. We describe the five improvement knowledge systems used to improve bundle adherence to bundle elements in each hospital. The insights gained from these front-line clinical teams can be used as a template for improvement efforts in a variety of other healthcare settings. British Publishing Group 2015-03-12 /pmc/articles/PMC4645939/ /pubmed/26734371 http://dx.doi.org/10.1136/bmjquality.u207660.w3069 Text en © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode |
spellingShingle | BMJ Quality Improvement Programme Daniel, Malcolm Booth, Malcolm Ellis, Kirsteen Maher, Shaun Longmate, Andrew Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title | Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title_full | Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title_fullStr | Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title_full_unstemmed | Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title_short | Details behind the dots: How different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
title_sort | details behind the dots: how different intensive care units used common and contrasting methods to prevent ventilator associated pneumonia |
topic | BMJ Quality Improvement Programme |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645939/ https://www.ncbi.nlm.nih.gov/pubmed/26734371 http://dx.doi.org/10.1136/bmjquality.u207660.w3069 |
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