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Using a Bundle Approach to Improve Ventilator Care Processes and Reduce Ventilator-Associated Pneumonia

The implementation of four evidence-based clinical interventions in the treatment of mechanically ventilated patients (the "ventilator bundle") reduces the risk of ventilator-associated pneumonia, thus reducing the rate of critically ill patient’s mortality and morbidity.

Resar R, Pronovost P, Haraden C, Simmonds et al. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Commission Journal on Quality and Patient Safety. 2005;31(5):243-248.

The implementation of four evidence-based clinical interventions in the treatment of mechanically ventilated patients (the "ventilator bundle") reduces the risk of ventilator-associated pneumonia (VAP), thus reducing the rate of critically ill patient’s mortality and morbidity. Between July 2002 and January 2004, teams of critical care clinicians from 61 health care organizations participated in a collaborative on improving care in the ICU by implementing the ventilator bundle. For the 35 units that consistently collected data on ventilator bundle element adherence and VAP rates, an average 44.5 percent reduction of VAP was observed.

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