|
|
Leveraging IHI Participation to Achieve Critical Care Improvement Spread in A Multi-Hospital System
A system-wide Critical Care Collaborative was convened by Catholic Healthcare West (San Francisco, California, USA) modeled after the IHI Breakthrough Series Collaborative to achieve improvements in care systems in the intensive care setting resulting in reduction in ventilator-associated pneumonia rate, reduction in our catheter-related blood stream infection rate, improved compliance with all components of the ventilator bundle, reduction in ICU average length of stay and reduction in percentage of patients in the ICU greater than 7 days.
|
Bundle Up for Safety
This story describes and explains the term "bundle" which applies to collections of processes needed to effectively care for patients undergoing particular treatments with inherent risks.
|
Eliminating Ventilator-Associated Pneumonia in Critical Care
Virginia Mason Medical Center (Seattle, Washington, USA) implemented and monitored a series of evidence-based interventions shown to reduce VAP (elevate head of bed 30 degrees, daily spontaneous breathing trials, daily sedation holiday) resulting in a reduction from twenty and thirteen VAPs in 2002 and 2003, respectively, to zero from January 2004 through July 31, 2004.
|
Reducing Device Related BSI’s in Critical Care
Beginning October 2002, Virginia Mason Medical Center (Seattle, Washington, USA) implemented and monitored a series of evidence based interventions shown to reduce device related Blood Stream Infections resulting in a reduction from 32 and 19 line infections in 2002 and 2003 respectively to five line infections from January through July 2004.
|
ZAP VAP
The University of Texas MD Anderson Cancer Center (Houston, Texas, USA) reduced the number of ventilator-associated pneumonias (VAPs) by 50 percent in 9 months primarily through staff education, implementation of a “ventilator bundle,” and multidisciplinary teamwork.
|
Eliminating Ventilator-Acquired Pneumonia
St. Vincent’s Hospital (Birmingham, Alabama, USA) has improved the care and outcomes for ICU patients by reducing ventilator-acquired pneumonia by 100 percent, reducing ICU length of stay by two days, and reducing average ventilator days by 3-4 days.
|
Building Rapid Response Teams
Two hospitals successfully implemented Rapid Response Teams — teams that can quickly respond to a patient and assess or even transfer the patient in minutes rather than hours — and reduced adverse events and mortality rates in both hospitals as a result.
|
Memphis Shares Successes in the Intensive Care Unit
Methodist Healthcare University Hospital (Memphis, Tennessee, USA) is making significant improvements in ICU care by decreasing length of stay, reducing the number of days patients are on ventilators, and decreasing their ICU mortality rate.
|
Memphis Shares Successes in the Intensive Care Unit
Methodist Healthcare University Hospital (Memphis, Tennessee, USA) is making significant improvements in ICU care by decreasing length of stay, reducing the number of days patients are on ventilators, and decreasing their ICU mortality rate.
|
Raising the Bar for Intensive Care
Dominican Hospital (Santa Cruz, California, USA) was able to reduce cases of ventilator-associated pneumonia as well other problems associated with a stay in the Intensive Care Unit.
|
|
|
