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You are here: Home > Knowledge Center > Tools > How-to Guide: Prevent Ventilator-Associated Pneumonia

How-to Guide: Prevent Ventilator-Associated Pneumonia

Institute for Healthcare Improvement

Cambridge, Massachusetts, USA​

 

This How-to Guide describes key evidence-based care components for the IHI Ventilator Bundle, which has been linked to reductions in ventilator-associated pneumonia in ventilated patients in intensive care, describes how to implement these interventions, and recommends measures to gauge improvement. The guide was initially developed as part of IHI's 5 Million Lives Campaign.

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  • 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.
  • Ventilator Bundle Checklist
    This checklist helps track compliance with implementing each element of the IHI Ventilator Bundle.
  • 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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