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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2012
Materias:	bundle mechanical ventilation prevention ventilator associated pneumonia Medicine R
Acceso en línea:	https://doaj.org/article/c0acb215d69d4a278c4e263798989363
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spelling	oai:doaj.org-article:c0acb215d69d4a278c4e2637989893632021-12-02T16:34:42ZUse of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria2231-07702249-446410.4103/2231-0770.110736https://doaj.org/article/c0acb215d69d4a278c4e2637989893632012-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.110736https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Objective: 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.Reem AlsadatHussam Al-BardanMona N MazloumAsem A ShamahMohamed F. E. EltayebAli MarieAbdulrahman DakkakOla NaesFaten EsberIbrahim BetelmalMazen KherallahThieme Medical and Scientific Publishers Pvt. Ltd.articlebundlemechanical ventilationpreventionventilator associated pneumoniaMedicineRENAvicenna Journal of Medicine, Vol 02, Iss 04, Pp 79-83 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	bundle mechanical ventilation prevention ventilator associated pneumonia Medicine R
spellingShingle	bundle mechanical ventilation prevention ventilator associated pneumonia Medicine R 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
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.
format	article
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
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	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2012
url	https://doaj.org/article/c0acb215d69d4a278c4e263798989363
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Use of ventilator associated pneumonia bundle and statistical process control chart to decrease VAP rate in Syria

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