Measuring the Impact of Implementing Evidence-Based Practices to Reduce Ventilator-Associated Pneumonia Rates Using Benchmarking Data

2.50
Hdl Handle:
http://hdl.handle.net/10755/152399
Type:
Presentation
Title:
Measuring the Impact of Implementing Evidence-Based Practices to Reduce Ventilator-Associated Pneumonia Rates Using Benchmarking Data
Abstract:
Measuring the Impact of Implementing Evidence-Based Practices to Reduce Ventilator-Associated Pneumonia Rates Using Benchmarking Data
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Stirlen, Joan, RN, MPH
P.I. Institution Name:VAMC
Title:Performance Measure Coordinator
Co-Authors:Gayla Freeman, RN, MS; Elsia Kodumthara, BSN, MSN; Diana Sullivan, BSN; Donna DeLise, RN, MS; A. Renee Leasure, PhD, RN, CCRN
In 1992 a nosocomial ventilator-associated pneumonia incident of 35 per 1,000 ôat riskö ventilator days was identified as compared to the National Nosocomial Infection Surveillance rate of 15. A multidisciplinary team led by nurses was appointed to improve the structure and process of care delivery to reduce this alarming rate. Present practices were identified, the empirical literature was reviewed and reduction strategies identified. Changes were implemented sequentially in order to monitor the impact of the changes. Early changes did not require a substantial increase in work of the already burdened staff. Rather early changes implemented involved scheduled changing of ambu bags and the collection of a sputum culture within 24 hours of intubation and on admission from the operating room to the ICU. Two other practices were considered but rejected due to insufficient support: saline instillation and chest physiotherapy. Following an increase in infection rates in the cardiovascular surgery sub-group chlorhexidine oral rinse was included as a routine practice. Three senior staff nurses served as unit based ôchange championsö ensuring that literature supporting the practice change was available for ready review. These unit based resources were present to answer questions and served as a resource for residents as they rotated through the intensive care unit. Monthly outcome data was provided to the ICU staff verbally and through displayed graphical data in the staff meeting/break room. Feedback was also provided to the multidisciplinary critical care committee who was charged with overseeing unit performance. Changes were tracked over time with suggestions being submitted by interested parties to members of the multidisciplinary team. The trended feedback data which represented outcomes data for the unit and compared to an external benchmark reinforced the impact of the changes provided ongoing monitoring.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMeasuring the Impact of Implementing Evidence-Based Practices to Reduce Ventilator-Associated Pneumonia Rates Using Benchmarking Dataen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152399-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Measuring the Impact of Implementing Evidence-Based Practices to Reduce Ventilator-Associated Pneumonia Rates Using Benchmarking Data</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Stirlen, Joan, RN, MPH</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">VAMC</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Performance Measure Coordinator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Joan.Stirlen@med.va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Gayla Freeman, RN, MS; Elsia Kodumthara, BSN, MSN; Diana Sullivan, BSN; Donna DeLise, RN, MS; A. Renee Leasure, PhD, RN, CCRN</td></tr><tr><td colspan="2" class="item-abstract">In 1992 a nosocomial ventilator-associated pneumonia incident of 35 per 1,000 &ocirc;at risk&ouml; ventilator days was identified as compared to the National Nosocomial Infection Surveillance rate of 15. A multidisciplinary team led by nurses was appointed to improve the structure and process of care delivery to reduce this alarming rate. Present practices were identified, the empirical literature was reviewed and reduction strategies identified. Changes were implemented sequentially in order to monitor the impact of the changes. Early changes did not require a substantial increase in work of the already burdened staff. Rather early changes implemented involved scheduled changing of ambu bags and the collection of a sputum culture within 24 hours of intubation and on admission from the operating room to the ICU. Two other practices were considered but rejected due to insufficient support: saline instillation and chest physiotherapy. Following an increase in infection rates in the cardiovascular surgery sub-group chlorhexidine oral rinse was included as a routine practice. Three senior staff nurses served as unit based &ocirc;change champions&ouml; ensuring that literature supporting the practice change was available for ready review. These unit based resources were present to answer questions and served as a resource for residents as they rotated through the intensive care unit. Monthly outcome data was provided to the ICU staff verbally and through displayed graphical data in the staff meeting/break room. Feedback was also provided to the multidisciplinary critical care committee who was charged with overseeing unit performance. Changes were tracked over time with suggestions being submitted by interested parties to members of the multidisciplinary team. The trended feedback data which represented outcomes data for the unit and compared to an external benchmark reinforced the impact of the changes provided ongoing monitoring.</td></tr></table>en_GB
dc.date.available2011-10-26T11:34:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:34:50Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.