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Intensive Care Medicine
Erschienen in: Intensive Care Medicine 7/2009

01.07.2009 | Original

Reduction of ventilator-associated pneumonia: active versus passive guideline implementation

verfasst von: Caroline S. Hawe, Kirsteen S. Ellis, Chris J. S. Cairns, Andrew Longmate

Erschienen in: Intensive Care Medicine | Ausgabe 7/2009

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Abstract

Purpose

Ventilator-associated pneumonia (VAP) is associated with increased morbidity, mortality and costs. We describe an active, multifaceted implementation of a VAP prevention bundle designed to improve staff compliance with evidence-based actions and reduce the incidence of VAP.

Method

A ‘VAP prevention bundle’ was designed then implemented, first passively, then actively, as defined by a multimodal programme incorporating staff education, process measurement and outcome measurement and feedback to staff and organisational change.

Results

Compliance with the VAP prevention bundle increased after active implementation. VAP incidence fell significantly from 19.2 to 7.5 per 1,000 ventilator days. Rate difference (99% CI) = 11.6 (2.3–21.0) per 1,000 ventilator days; rate ratio (99% CI) = 0.39 (0.16, 0.96).

Conclusions

An active implementation programme increased staff compliance with evidence-based interventions and was associated with a significant reduction in VAP acquisition.
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Metadaten
Titel
Reduction of ventilator-associated pneumonia: active versus passive guideline implementation
verfasst von
Caroline S. Hawe
Kirsteen S. Ellis
Chris J. S. Cairns
Andrew Longmate
Publikationsdatum
01.07.2009
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 7/2009
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-009-1461-0

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