Background & Problems: Ventilator-associated pneumonia (VAP) is a common healthcare-associated infection in the intensive care unit. The average VAP rate was .128% in our unit during 2011. Therefore, we designed a project to identify relevant problems, including: inadequate knowledge about VAP care, incorrect techniques for sputum suction, patient head elevation < 30~45 degrees, ventilator humidifier installed with water equipment designed without water-resistant barriers, failure to change the resuscitator and small-volume nebulizer regularly, and possible cross-contamination between respiratory-care devices.
Purpose: We targeted a VAP rate decrease from the current .128% to less than .1%.
Resolution: The improvement measures implemented included team resource management (TRM) with VAP education, promotion, a written reminder regarding sputum accumulation sites, instruction to elevate the head of patients to an appropriate height, introduction of an auto-stop water adding system, and regular changes of related devices at assigned positions.
Results: The VAP rate decreased from .128% to .065%.
Conclusions: The risk identification and associated TRM project improved teamwork and the quality of care in the ICU.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.6224/JN.62.3S.21 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Self-healing, flame retardant and UV resistant lignin-derived epoxy wood coating with a Schiff base structure.
Int J Biol Macromol
December 2024
Department of Housing Environmental Design, Research Institute of Human Ecology, College of Human Ecology, Jeonbuk National University, Jeonju 54896, Republic of Korea. Electronic address:
The traditional epoxy resin not only is flammable and non-recyclable and but also heavily dependents on petroleum resources, which cannot meet the requirements of fire prevention and sustainable development. In this study, a vanillin intermediate (VAP) with dynamic imine bond (C=N) was prepared by schiff base reaction between the lignin derivative vanillin (-CHO) and the cage-like polyhedral oligomeric silsesquioxane OA-POSS(-NH). Then, a biomass-based P-N-Si flame retardant (VAPD) was synthesized by adding 9,10-Dihydro-9-Oxa-10-Phosphaphenanthrene-10-Oxide (DOPO) into the VAP.
View Article and Find Full Text PDFEnhancing critical care practitioners' knowledge and adherence to ventilator-associated events bundle: a comprehensive analysis.
Front Med (Lausanne)
November 2024
Department of Health Administration, College of Business Administration, King Saud University Riyadh, Riyadh, Saudi Arabia.
Objectives: Few surveys have focused on ventilator-associated pneumonia occurring in critically ill patients undergoing intubation and mechanical ventilation. Limited knowledge among healthcare workers may impede compliance with evidence-based guidelines for preventing ventilator-associated pneumonia. We evaluate the knowledge of intensive care professionals related to preventing ventilator-associated pneumonia in the intensive care units.
View Article and Find Full Text PDFCMV reactivation in immunocompetent critically ill intensive care unit patients: a retrospective study.
J Infect Dev Ctries
October 2024
Department of Infectious Diseases and Clinical Microbiology, Izmir Katip Celebi University, Izmir, Turkiye.
Article Synopsis
- The study investigates the occurrence of Cytomegalovirus (CMV) reactivation in immunocompetent critically ill patients who have bacterial infections in their respiratory tract.
- Out of 34 patients, 79.4% experienced CMV reactivation, particularly those with ventilator-associated pneumonia (VAP) and sepsis, although the differences in CMV DNA levels weren't statistically significant.
- The findings suggest that CMV reactivation is linked to longer hospital stays and extended mechanical ventilation but does not correlate with increased mortality rates.
Multiomics approaches disclose very-early molecular and cellular switches during insect-venom allergen-specific immunotherapy: an observational study.
Nat Commun
November 2024
Department of Infection and Immunity, Luxembourg Institute of Health (LIH), Esch-sur-Alzette, Luxembourg.
Allergen-specific immunotherapy (AIT) induces immune tolerance, showing the highest success rate (>95%) for insect venom while a much lower chance for pollen allergy. However, the molecular switches leading to successful durable tolerance restoration remain elusive. The primary outcome of this observational study is the comprehensive immunological cellular characterization during the AIT initiation phase, whereas the secondary outcomes are the serological and Th2-cell-type-specific transcriptomic analyses.
View Article and Find Full Text PDFRemoval of Chlorhexidine for Ventilator-Associated Pneumonia Prevention with a Dentist Composing the Intensive Care Unit Team.
J Multidiscip Healthc
November 2024
Dentistry Department, University of Brasília, Brasília, Distrito Federal, Brazil.
Purpose: An association between the use of chlorhexidine in mechanically ventilated patients for the purpose of oral hygiene and the prevention of ventilator-associated pneumonia (VAP) lacks conclusive evidence in the literature. Therefore, this study aims to assess the clinical impact of such practice. This evaluation will consider that retention factors, infection foci, and oral biofilm will be regularly removed by a dentist.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!