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Ventilator Associated Pneumonia VAP (PowerPoint)

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					Evelyn Mello, BSMT, (ASCP) MS, CIC
    Infection Control Practitioner
    Ventilator-Associated Pneumonia
        MetroWest Medical Center’s Journey
   MWMC is a 2-hospital system
       Framingham Union Hospital in Framingham
       Leonard Morse Hospital in Natick

   269 bed community teaching hospital
   2 critical care units, total of 21 beds
   24/7 Intensivist / Pulmonologist ICU / CCU coverage
   4 days average length of stay on ventilator
Ventilator-Associated Pneumonia
             Project
   Background
     Startedin 2005 – IHI 100K Lives Campaign
     Review of our VAP rates –
         In 2004 – 4 VAP cases, 2.8/1000 vent. days
     VAP   Bundle and education / Implementation
   Aim
     Reduce    VAP at MWMC to 0% within 1 year
    Ventilator-Associated Pneumonia
                 Project
   Multidisciplinary Team Approach
      ICU/CCU Staff, Respiratory Therapy, Intensivists, Infectious Disease
        MDs, Infection Control Practitioners, Pharmacy, Quality

   Developed VAP Bundle Checklist and signage
      Additional Interventions
          Increased use of non-invasive ventilation – CPAP
          Chlorhexidine Mouthwash
          Spontaneous breathing trial done on all vent. patients daily
          Fast-track all vent. patients – wean and extubate quickly
          Resp. staff monitoring of VAP bundle with vent. checks (q 2 hours)


   Lessons Learned
      Teamwork leads to Positive Patient Outcomes & Quality Patient Care
                                                MetroWest Medical Center
                                                Ventilator Associated Pneumonia
                                                        # VAP Cases
                                                        VAP Rate per 1,000 vent days
5
    2004 - Baseline
                         2005 - VAP Bundle
                      Implemented (Education)
            4
4
                                                            2006 - 2007
                                                   Maintained 50% decrease from
                                                              baseline

3         2.80
                                                                                                2008 - Q1 2009
                                                                                              100% decrease from
                                                                                                   baseline
                                                    2                           2
2


                                                                              1.20
                              1                    1.00
1

                              0.40
                                                                                       0.00                        0.00
                                                                                          0                          0
0
          2004               2005                  2006                       2007     2008                   2009 Quarter 1

				
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posted:3/7/2012
language:English
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