Skip header and navigation

Refine By

   MORE

1 records – page 1 of 1.

Implementation of clinical practice guidelines for ventilator-associated pneumonia: a multicenter prospective study.

https://arctichealth.org/en/permalink/ahliterature118301
Source
Crit Care Med. 2013 Jan;41(1):15-23
Publication Type
Article
Date
Jan-2013
Author
Tasnim Sinuff
John Muscedere
Deborah J Cook
Peter M Dodek
William Anderson
Sean P Keenan
Gordon Wood
Richard Tan
Marilyn T Haupt
Michael Miletin
Redouane Bouali
Xuran Jiang
Andrew G Day
Janet Overvelde
Daren K Heyland
Author Affiliation
Sunnybrook Research Institute, Sunnybrook Health Sciences Center and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada. taz.sinuff@sunnybrook.ca
Source
Crit Care Med. 2013 Jan;41(1):15-23
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Canada
Female
Guideline Adherence
Humans
Inservice training
Male
Middle Aged
Outcome Assessment (Health Care)
Pneumonia, Ventilator-Associated - diagnosis - prevention & control - therapy
Practice Guidelines as Topic
Prospective Studies
Translational Medical Research
United States
Abstract
Ventilator-associated pneumonia is an important cause of morbidity and mortality in critically ill patients. Evidence-based clinical practice guidelines for the prevention, diagnosis, and treatment of ventilator-associated pneumonia may improve outcomes, but optimal methods to ensure implementation of guidelines in the intensive care unit are unclear. Hence, we determined the effect of educational sessions augmented with reminders, and led by local opinion leaders, as strategies to implement evidence-based ventilator-associated pneumonia guidelines on guideline concordance and ventilator-associated pneumonia rates.
Two-year prospective, multicenter, time-series study conducted between June 2007 and December 2009.
Eleven ICUs (ten in Canada, one in the United States); five academic and six community ICUs.
At each site, 30 adult patients mechanically ventilated >48 hrs were enrolled during four data collection periods (baseline, 6, 15, and 24 months).
Guideline recommendations for the prevention, diagnosis, and treatment of ventilator-associated pneumonia were implemented using a multifaceted intervention (education, reminders, local opinion leaders, and implementation teams) directed toward the entire multidisciplinary ICU team. Clinician exposure to the intervention was assessed at 6, 15, and 24 months after the introduction of this intervention.
The main outcome measure was aggregate concordance with the 14 ventilator-associated pneumonia guideline recommendations. One thousand three hundred twenty patients were enrolled (330 in each study period). Clinician exposure to the multifaceted intervention was high and increased during the study: 86.7%, 93.3%, 95.8%, (p
Notes
Comment In: Crit Care Med. 2013 Jan;41(1):329-3123269134
PubMed ID
23222254 View in PubMed
Less detail