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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Wolters Kluwer Medknow Publications
2012-10-01
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doaj-c0acb215d69d4a278c4e2637989893632021-08-09T23:15:12ZengWolters Kluwer Medknow PublicationsAvicenna Journal of Medicine2231-07702249-44642012-10-010204798310.4103/2231-0770.110736Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in SyriaReem Alsadat0Hussam Al-Bardan1Mona N Mazloum2Asem A Shamah3Mohamed F. E. Eltayeb4Ali Marie5Abdulrahman Dakkak6Ola Naes7Faten Esber8Ibrahim Betelmal9Mazen Kherallah10Department of Internal Medicine, Al-Mouassat Hospital, Riyadh, Saudi ArabiaDepartment of Internal Medicine, Al-Mouassat Hospital, Riyadh, Saudi ArabiaCritical Care Services, General Assembly of Damascus Hospital, Riyadh, Saudi ArabiaAl-Bassel Heart Institute, Riyadh, Saudi ArabiaCritical Care Services, General Assembly of Damascus Hospital, Riyadh, Saudi ArabiaCritical Care Services, General Assembly of Damascus Hospital, Riyadh, Saudi ArabiaCritical Care Services, Ibn Al-Nafees Hospital, Saudi ArabiaAl-Bassel Heart Institute, Riyadh, Saudi ArabiaDepartment of Internal Medicine, Al-Mouassat Hospital, Riyadh, Saudi ArabiaWorld Health Organization (Damascus Office), Riyadh, Saudi ArabiaAdult Critical Care Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi ArabiaObjective: 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.http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.110736bundlemechanical ventilationpreventionventilator associated pneumonia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Reem Alsadat Hussam Al-Bardan Mona N Mazloum Asem A Shamah Mohamed F. E. Eltayeb Ali Marie Abdulrahman Dakkak Ola Naes Faten Esber Ibrahim Betelmal Mazen Kherallah |
spellingShingle |
Reem Alsadat Hussam Al-Bardan Mona N Mazloum Asem A Shamah Mohamed F. E. Eltayeb Ali Marie Abdulrahman Dakkak Ola Naes Faten Esber Ibrahim Betelmal Mazen Kherallah Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria Avicenna Journal of Medicine bundle mechanical ventilation prevention ventilator associated pneumonia |
author_facet |
Reem Alsadat Hussam Al-Bardan Mona N Mazloum Asem A Shamah Mohamed F. E. Eltayeb Ali Marie Abdulrahman Dakkak Ola Naes Faten Esber Ibrahim Betelmal Mazen Kherallah |
author_sort |
Reem Alsadat |
title |
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_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_sort |
use of ventilator associated pneumonia bundle and statistical process control chart to decrease vap rate in syria |
publisher |
Wolters Kluwer Medknow Publications |
series |
Avicenna Journal of Medicine |
issn |
2231-0770 2249-4464 |
publishDate |
2012-10-01 |
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. |
topic |
bundle mechanical ventilation prevention ventilator associated pneumonia |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.110736 |
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