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• Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
  The Compendium distills current guidelines for the prevention of healthcare-associated infections and includes recommendations for implementation in the clinical setting, along with metrics and indicators of success.
• How-to Guide: Multidisciplinary Rounds
  This guide describes the key components of multidisciplinary rounds, potential impact on outcomes, examples of success, and tips for successful implementation.
• How-to Guide: Prevent Ventilator-Associated Pneumonia
  This How-to Guide describes key evidence-based care components of the IHI Ventilator Bundle which has been linked to prevention of ventilator-associated pneumonia.
• Implement Daily Goals Assessment
  Daily goals assessment allows teams to keep track of plans established either on patient care rounds and/or multidisciplinary rounds and to verify their completion.
• Implement the IHI Ventilator Bundle
  Reducing mortality due to ventilator-associated pneumonia requires an organized process that guarantees the early recognition of pneumonia along with the uniform and consistent application of the best evidence-based practices.

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• Changes to Prevent Healthcare-Associated Infections
  Organizations must test and implement changes to existing processes in order to prevent healthcare-associated infections (HAIs).
• IHI Ventilator Bundle: Daily "Sedation Vacations" and Assessment of Readiness to Extubate
  Using daily "sedation vacations" and assessing the patient’s readiness to extubate is an integral part of the Ventilator Bundle and has been correlated with reduction in the rate of ventilator-acquired pneumonia.
• IHI Ventilator Bundle: Daily Oral Care with Chlorhexidine
  Oral decontamination of mechanically ventilated adults using chlorhexidine is associated with a lower risk of ventilator-associated pneumonia. The recommended chlorhexidine solution strength is 0.12%.
• IHI Ventilator Bundle: Deep Venous Thrombosis Prophylaxis
  Applying deep venous thrombosis prophylaxis is an appropriate intervention in all patients who are sedentary, however the higher incidence of deep venous thrombosis in critical illness justifies greater vigilance.
• IHI Ventilator Bundle: Elevation of the Head of the Bed
  Elevation of the head of the bed is an integral part of the IHI Ventilator Bundle and has been correlated with reduction in the rate of ventilator-associated pneumonia.
• IHI Ventilator Bundle: Peptic Ulcer Disease Prophylaxis
  Applying peptic ulcer disease prophylaxis is an appropriate intervention in all patients who are sedentary, however the higher incidence of stress ulceration in critical illness justifies greater vigilance.
• Implement the IHI Ventilator Bundle
  Reducing mortality due to ventilator-associated pneumonia requires an organized process that guarantees the early recognition of pneumonia along with the uniform and consistent application of the best evidence-based practices.

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• Ventilator Bundle Compliance
  Compliance with the Ventilator Bundle is defined as the percentage of intensive care patients on mechanical ventilation for whom all four of the elements of the Ventilator Bundle are documented on daily goals sheets and/or elsewhere in the medical record.
• Ventilator-Associated Pneumonia (VAP) Rate per 1,000 Ventilator Days
  Ventilator-associated pneumonia (VAP) is defined as pneumonia in a patient intubated and ventilated at the time of or within 48 hours before the onset of the event. (There is no minimum period of time that the ventilator must be in place in order for the pneumonia to be considered ventilator-associated.) The VAP rate is defined as the number of ventilator-associated pneumonias per 1,000 ventilator days

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• Ventilator Bundle Checklist
  
  This checklist helps track compliance with implementing each element of the IHI Ventilator Bundle.
• How-to Guide: Prevent Ventilator-Associated Pneumonia
  
  This How-to Guide describes key evidence-based care components of the IHI Ventilator Bundle which has been linked to prevention of ventilator-associated pneumonia.
• Mechanical Ventilation Liberation Protocol
  
  This Respiratory Therapist-driven protocol provides assessment criteria for readiness to implement a Spontaneous Breathing Trial.
• Sedation Interruption Protocol
  
  This nurse-driven algorithm provides inclusion and exclusion criteria for implementing appropriate daily sedation interruption for patients on continuous sedation.
• Medical-Surgical Intensive Care Unit Daily Sedation Vacation Protocol
  
  This protocol is used by staff in medical-surgical intensive care units to remove patients from continuous IV drip sedation as soon as is medically feasible
• Sample Business Case for Reducing Ventilator-Associated Pneumonia
  
  This document provides a sample business case for reducing ventilator-associated pneumonia.
• Business Profile for Reducing Ventilator-Associated Pneumonia
  
  This example of a business profile stating the need for work to reduce ventilator-associated pneumonia explores the projected impact on resources for a hospital participating in such an initiative.
• Patient Guides on Healthcare-Associated Infections
  
  These fact sheets for patients and families provide answers to frequently asked questions about various healthcare-associated infections.
• Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
  
  The Compendium distills current guidelines for the prevention of healthcare-associated infections and includes recommendations for implementation in the clinical setting, along with metrics and indicators of success.
• How-to Guide: Prevent Ventilator-Associated Pneumonia (Pediatric Supplement)
  
  This How-to Guide specifically tailored for pediatrics describes key evidence-based care components for preventing ventilator-associated pneumonia.

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• Passport Exclusive: Developing, Testing, and Locally Adapting Sedation Protocols
  
  In this video, IHI faculty member Dr. Terry Clemmer details the steps to develop and test a sedation protocol at your organization.
• Passport Exclusive: Taking Steps to Improve Patient Mobility
  
  This video describes the effects of early activity for patients in the intensive care unit.