Safer Healthcare Now! Ventilator Acquired Pneumonia. Presented by Amanda Thompson, Safer Healthcare Now Facilitator April 12, 2007. Safer Healthcare Now! Background. Largest patient safety initiative in Canadian history Adopted from IHI Over 600 teams registered across Canada
Ventilator Acquired Pneumonia
Amanda Thompson, Safer Healthcare Now Facilitator
April 12, 2007
DEFINITION – “An airway infection developed more than 48 hours after a patient was intubated”
New, worsening or persistent infiltrate on CXR compatible with pneumonia and 2 of the following:
Note: Presence of crackles or bronchial breathing, and confusion in older pt’s is a good indicator of pneumonia.
“Teams that have unfailingly accomplishedevery bundle element, on every patient, every time ,have gone months without a single case of pneumonia associated with the ventilator”.
HOB: HI = Hemodynamic Instability SP = Spinal Precautions PR = Undergoing Procedure AG= Agitated NR = No Reason
OG: OT= Oral Trauma SU = Post Oral Surgery TR = Trach Insitue NGS = NG Sutured PE= Planned Extubation
SBT: CNM = Criteria Not Met
EVAC: NA = Not Available SI = ETT size > 6.0 TR = Trached
*Adapted from a tool created by Dominical Hospital (Santa Cruz, CA) March 20, 2007