Implementation of a Real-time Compliance Dashboard to Help Reduce SICU Ventilator-Associated Pneumonia With the Ventilator Bundle

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Abstract
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in mechanically ventilated patients. It accounts for approximately 60% of deaths among patients with hospital-acquired pneumonia, prolonging hospital stay by an average of 4 to 9 days and increasing direct hospitalization costs by $40 000 per patient.1-6 The Centers for Disease Control (CDC), Joint Commission, National Institute of Medicine, and the Leapfrog Group have all identified VAP rate as a measure of quality of care provided by an institution.7-9 Most hospitals have a set of multidisciplinary patient care practices, termed the ventilator bundle, implemented by the patient care team to standardize treatment for patients receiving mechanical ventilation.8,10,11