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Reducing VAP for Long-Term Mechanical Ventilation Patients using the Ventilator Bundle
Coler♥Goldwater Specialty Hospital and Nursing Facility (Roosevelt Island, New York, USA) reduced ventilator-associated pneumonia (VAP) from 2.4 to 1 VAP per 1,000 ventilator days among patients on long-term mechanical ventilators, primarily by implementing elements of the IHI Ventilator Bundle.
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Contra Costa Regional Medical Center: Where the Rate of VAP Dropped By More Than 90 Percent through Collaborative Efforts
At Contra Costa, a conscious effort from the top down and the bottom up creates a culture of collaboration and teamwork. Teamwork has enabled improvement of care processes and patient outcomes in many areas, including ventilator-associated pneumonia (VAP).
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Johns Hopkins Children’s Center: Where Pharmacists on Rapid Response Teams Boost Effectiveness
At Johns Hopkins Children’s Center, pharmacists play an invaluable role on the Rapid Response Team, helping to prepare medications so nurses can focus on attending to the patient’s immediate needs.
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Parkland Medical Center: Where the MRSA Rate Has Decreased for Three Years in A Row
Carefully following proper hand hygience procedures has helped Parkland Medical Center reduce hospital-acquired infections, particularly methicillin-resistant Staphylococcus aureus (MRSA). This has required a relentless attention to a collection of proactive interventions, including environmental decontamination, active surveillance cultures for at-risk patients, and aggressive isolation precautions.
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BryanLGH Medical Center: Where One ICU Went 27 Months with No Cases of VAP
BryanLGH Medical Center has decreased the number of ventilated patients getting pneumonia. All this is the result of the hospital’s success over the past few years in its three ICUs by implementing the Ventilator Bundle — a set of proven steps for preventing ventilator-associated pneumonia.
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North Carolina Children’s Hospital: Where Parents Are Considered Part of the Medical Team
North Carolina Children’s Hospital gives family members the same direct access to the Rapid Response Team as the rest of the medical staff. Patients and families view the Rapid Response Team as an extension of the clinical team already taking care of their child, a kind of safety net.
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Saving Lives: Simple Interventions DO Really Help in the ICU
PeaceHealth/St. Joseph Hospital (Bellingham, WA, USA) implemented the Ventilator and Central Line Bundles, resulting in 4+ months without a ventilator-associated pneumonia and 3+ months without a central line infection.
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Implementation of a Rapid Response Team at a Teaching Medical Institution
Albert Einstein Medical Center (Philadelphia, Pennsylvania, USA) reduced the number of code-blue calls (cardiopulmonary arrest) per 1,000 discharges by 50.6 percent by implementing a Rapid Response Team.
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Pharmacists to the (Early) Rescue
Some hospitals are discovering that the Rapid Response Team that has a pharmacist attached to it is even more effective, ensuring that medications are available and, where appropriate, helping determine the cause of a patient’s decline and offering expert clinical advice.
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Reducing Hospital Mortality Rates at Missouri Baptist
Missouri Baptist Hospital (St. Louis, Missouri, USA) has achieved a 22 percent reduction in their raw mortality rate in a four-year period. As they celebrate their success, work continues to hold the gains and reduce the mortality rate even further.
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