Process and Outcome Measures Ventilator Management Redesign Effort.

Slides:

Advertisements

Similar presentations

VAP Wash hands and wear gloves with all patient contact Head of bed elevated as tolerated Use oral suction device, keep in clean container between use.

Advertisements

Eliminate Ventilator-Associated Pneumonia. What Is a Ventilator? A machine that supports breathing for those that have lost the ability to breathe Short.

ECareManager™ Daily Management Reports. Learning Objectives  Following completion of this PowerPoint, the learner will be able:  Describe Daily Management.

Reducing Ventilator Associated Pneumonia in Adults Intensive Care Units Confidential: Quality Improvement Material.

Implementing a Ventilator-Associated Pneumonia Bundle in an Academic Emergency Department L.A. DeLuca, L.R. Stoneking, K. Grall, A. Tran, J. Rosell, A.

Michael Baram Medical Critical Care. SevereSepsis Relationship Between SIRS, Sepsis and Severe Sepsis Bone RC, et al. Chest 1992;101: Vincent.

Patient safety bundles for critical care

Ventilator Care Bundle

Key Elements Of Vent Bundle Terry Clemmer MD Vicki Spuhler RN MS.

How We Zapped VAP During the past six years, our Multidisciplinary Pneumonia Team has worked to reduce Ventilator Associated Pneumonia (VAP). Through these.

OUR LADY OF LOURDES MEMORIAL HOSPITAL Binghamton, New York Reducing Complications From Ventilators in ICU: Ventilator Associated Pneumonia (VAP)

©Copyright 2010 IHI/R. Lloyd Measurement Plan Worksheet VAP Measure NameType (Process, Outcome or Balancing) Driver addressed by this measure Operational.

University of DundeeSchool of Medicine Best practice in managing pneumonia: Scottish National Audit Project – Community Acquired Pneumonia (SNAP-CAP) Peter.

Sean Berenholtz, MD MHS FCCM September 20, 2011 at 2ET/1 CT/12 MT/11 PT Ventilator Associated Pneumonia Prevention CLABSI Supplemental Call Series.

Journal Club. Background to the paper Pneumonia is THE MOST COMMON nosocomial infection in ICU patients 12 to 18 cases per 1000 ventilator days Oropharyngeal.

American Association of Critical-Care Nurses: Practice Alert

Safer Healthcare Now! Ventilator Acquired Pneumonia Presented by Amanda Thompson, Safer Healthcare Now Facilitator April 12, 2007.

Preventing VAP - evidence for a care bundle. VAP Incidence ~ % ventilated patients 7-15 / 1000 ventilator days Atributable mortality of 0-50% Atributable.

What are they & why use them?

Leading and Lagging Indicators. Leading Indicators Definition: An indicator that predicts future events and tend to change ahead of that event. Sometimes.

1 Hospital Acquired Conditions. 2 Hospital Acquired Infections (HAI’s) Blood Stream Infections Ventilator Associated Pneumonia (VAP) Surgical Site Infections.

Evelyn Mello, BSMT, (ASCP) MS, CIC Infection Control Practitioner.

CLABSI: Working Toward Zero Trinity Regional Health System Infection Prevention and Control Presented by: Patricia Herath, BSN, RNC Infection Preventionist.

University of Rochester Strong Health

Hospital acquired VTE Alert system Caroline Baglin Thrombophilia CNS.

Patient- and Family-Centered Care — What is it? Patient- and family- centered care is working with, rather than doing to or for.

2012 SCONL Meeting Best Practice

ความหมาย As Pneumonia in patient who have been on mechanical ventilation for greater than 48 hrs.

Lou Ann Bruno, MD Chief of Infectious Diseases and Medical Director Of Infection Prevention NHSN Benchmark Med-Surg ICU:

Mortality review Brian Bjørn, M.D. International Forum on Quality Improvement in Health Care Paris – April 9, 2014 Danish Society for Patient Safety.

Adv Dip (Med Sci), MBBS, MBA (Healthcare Management)

***Please note some slides have been removed since the webinar at the presenter’s request. CUSP for VAP Revisiting Your Action Plan: Using Reports to.

1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Chapter 1 Contemporary Nursing Practice.

Healthcare Leaders Embrace Reform 17 th Annual Scottsdale Institute Spring Conference April 14-16, 2010 Camelback Inn Scottsdale, AZ.

Results: The Staff Safety Assessment Survey Lisa Lubomski, PhD April 11, 2013.

 To review sedation use in critically ill  Draw upon clinical experience of changing a sedation scoring tool  Discuss sedations holds in relation to.

Supporting NHS Wales to Deliver World Class Healthcare All Wales Stroke Services Improvement Collaborative Learning Session One 21 st October 2009.

CUSP 4 MVP – VAP Improving Care for Mechanically Ventilated Patients Data Feedback: SubG ETT, Head of Bed Elevation and Delirium Assessment Utilization.

Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals 2014 Update Dr Neda Alijani.

Ventilator-Associated Pneumonia K-HEN Data Collection & Submission Dolores Hagan, RN BSN K-HEN Education and Data Manager August 2012.

PREVENTION Kaplan University Capstone NU499 VENTILATOR – ASSOCIATED PNEUMONIA VAP PREVENTION at Sparks Regional Medical Center.

VAP Rates – Critical Care January 1, 2010 – December 31, 2010.

1 Is it cost-effective to kill patients? Edward Broughton, PhD., MPH Director, USAID Health Care Improvement Project, University Research Co.

Complex Respiratory Disorders N464- Fall Ventilator-Associated Pneumonia (VAP) Aspiration of bacteria from oropharynx or gastrointestinal tract.

Presenting information simply for patient, clinical and management decision-making HIMSS / COACH Ontario Update Analytics Use Case.

Ventilator Associated Pneumonia. Ventilator-associated pneumonia (VAP) is a form of hospital-associated pneumonia (HAP) which develops in mechanically.

VAE/VAP: Definitions, Algorithms and Best Practices

Has the Oral Care for Mechanically Ventilated Patients improved on ITU? ITU Practice Development Nurses: Maria Crowley & Sarah Brown ITU Audit Nurse: Phillipa.

Ventilator-Associated Pneumonia

Update in Critical Care Medicine Ann Intern Med 2007;147:

1 Hospital Acquired Conditions (HACs). 2 Hospital Acquired Infections (HAI’s) Blood Stream Infections Ventilator Associated Pneumonia (VAP) Surgical Site.

The Effects of Mouth Care on Ventilator Associated Pneumonia in Medical, Surgical, and Neurological ICU Patients Jimmy Dierkes R.N. Therese Fringer R.N.

Enhanced Recovery After Surgery Alan Willson 17 November 2010

Make a Start, Make a Difference ...

Linda L. Horton, RN, MSN, CPHQ Mercy Hospital Buffalo January 18, 2012

Ventilator-associated pneumonia (VAP) prevention in Wales:

Copyright © 2010 American Medical Association. All rights reserved.

Charles D. Burger, MD, Roger K. Resar, MD Mayo Clinic Proceedings

Subglottic Suctioning

Figure 1. Algorithm for classifying patients with hospital-acquired pneumonia according to the Consensus Statement of the American Thoracic Society. Adapted.

RCSI Hospital Group Lead Sepsis ADON Mary Bedding

Jan Warner Director of Patient Safety and Performance Assessment

A Quick Review: Preventing Ventilator-Associated Pneumonia (VAP)

Hospital Antibiotic Stewardship Programs

Charles D. Burger, MD, Roger K. Resar, MD Mayo Clinic Proceedings

J. Rello, E. Afonso, T. Lisboa, M. Ricart, B. Balsera, A. Rovira, J

Ventilator-associated pneumonia—Understanding epidemiology and pathogenesis to guide prevention and empiric therapy Patrick Francioli, Jean Chastre,

Community-acquired pneumonia in adults

Clinical Governance Support Unit

Compliance with empiric therapy guidelines for treatment of each type of pneumonia. Compliance with empiric therapy guidelines for treatment of each type.

Presentation transcript:

Process and Outcome Measures Ventilator Management Redesign Effort

Process and Outcome Measures Example AIM: To prevent Ventilator Acquired Pneumonia. (Outcome Measure). Measure: Number of patients with a diagnosis of pneumonia who are on ventilators (and were not admitted with pneumonia). Changes: There are 5 different changes that will be implemented and therefore 5 process measures: –head of bed elevated, stress ulcer prophylaxis, DVT prophylaxis, oral care, and sedation management.

These are the five processes that will be monitored (process measures) since they are predictors of ventilator acquired pneumonia.

Ventilator Management Dashboard Process Indicators – Real-time system with alerts (red, green, yellow flags) indicating compliance with the Ventilator Management Bundle.

Ventilator Management Process Outcomes PERCENTAGESDVTPUDRAORASHOBSWABTEETHSUCTION RED 49%64%13%21%25%14% YELLOW FLAGS 0% 53%1%12.0% GREEN 51%36%87%26%74%74.0% GREEN/YELLOW FLAGS 100% 51%36%87%79%75%84%

Process measures should have well defined steps. The flowchart on the next page provides that information.

Ventilator Management Clinical Outcomes- VAP Rates