Using a collaborative to reduce ventilator-associated pneumonia in Thailand

Background: Ventilator-associated pneumonia (VAP) is a serious nosocomial infection, leading to high mortality and high costs of treatment in developed and limited-resource countries. A collaborative quality improvement (QI) project was conducted in 18 secondary and tertiary care hospitals in Thaila...

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Main Authors: Unahalekhaka A., Jamulitrat S., Chongsuvivatwong V., Ovretveit J.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-34347378133&partnerID=40&md5=57e4217099527514b20a83ec00c4a4d7
http://cmuir.cmu.ac.th/handle/6653943832/4310
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-43102014-08-30T02:38:10Z Using a collaborative to reduce ventilator-associated pneumonia in Thailand Unahalekhaka A. Jamulitrat S. Chongsuvivatwong V. Ovretveit J. Background: Ventilator-associated pneumonia (VAP) is a serious nosocomial infection, leading to high mortality and high costs of treatment in developed and limited-resource countries. A collaborative quality improvement (QI) project was conducted in 18 secondary and tertiary care hospitals in Thailand to address the problem. Methods: The project, conducted between February 2004 and May 2005, entailed three face-to-face meetings - two national workshops and two regional workshops (each conducted twice). Education on VAP prevention, including guidelines and the ventilator bundle, was conducted for intensive care unit staff and all relevant personnel. The collaborative's effectiveness was assessed by VAP rate, a self-administered questionnaire, and face-to-face interviews. Results: Within 12 months, the pooled VAP rate decreased from 13.3 to 8.3 per 1,000 ventilator-days. The costs of antibiotic treatment for VAP decreased by more than one half. More than 80% of interviewed participants reported that the QI method could be applied effectively in their organization. Discussion: VAP surveillance during this project revealed a gradual reduction of the VAP rate. The project's relative overall success appears to reflect, as reported elsewhere, a well-organized program, support from hospital administrators, and workshop leaders' presentation of proven QI methods and clinical interventions. 2014-08-30T02:38:10Z 2014-08-30T02:38:10Z 2007 Article 15537250 17711140 http://www.scopus.com/inward/record.url?eid=2-s2.0-34347378133&partnerID=40&md5=57e4217099527514b20a83ec00c4a4d7 http://cmuir.cmu.ac.th/handle/6653943832/4310 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Background: Ventilator-associated pneumonia (VAP) is a serious nosocomial infection, leading to high mortality and high costs of treatment in developed and limited-resource countries. A collaborative quality improvement (QI) project was conducted in 18 secondary and tertiary care hospitals in Thailand to address the problem. Methods: The project, conducted between February 2004 and May 2005, entailed three face-to-face meetings - two national workshops and two regional workshops (each conducted twice). Education on VAP prevention, including guidelines and the ventilator bundle, was conducted for intensive care unit staff and all relevant personnel. The collaborative's effectiveness was assessed by VAP rate, a self-administered questionnaire, and face-to-face interviews. Results: Within 12 months, the pooled VAP rate decreased from 13.3 to 8.3 per 1,000 ventilator-days. The costs of antibiotic treatment for VAP decreased by more than one half. More than 80% of interviewed participants reported that the QI method could be applied effectively in their organization. Discussion: VAP surveillance during this project revealed a gradual reduction of the VAP rate. The project's relative overall success appears to reflect, as reported elsewhere, a well-organized program, support from hospital administrators, and workshop leaders' presentation of proven QI methods and clinical interventions.
format Article
author Unahalekhaka A.
Jamulitrat S.
Chongsuvivatwong V.
Ovretveit J.
spellingShingle Unahalekhaka A.
Jamulitrat S.
Chongsuvivatwong V.
Ovretveit J.
Using a collaborative to reduce ventilator-associated pneumonia in Thailand
author_facet Unahalekhaka A.
Jamulitrat S.
Chongsuvivatwong V.
Ovretveit J.
author_sort Unahalekhaka A.
title Using a collaborative to reduce ventilator-associated pneumonia in Thailand
title_short Using a collaborative to reduce ventilator-associated pneumonia in Thailand
title_full Using a collaborative to reduce ventilator-associated pneumonia in Thailand
title_fullStr Using a collaborative to reduce ventilator-associated pneumonia in Thailand
title_full_unstemmed Using a collaborative to reduce ventilator-associated pneumonia in Thailand
title_sort using a collaborative to reduce ventilator-associated pneumonia in thailand
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-34347378133&partnerID=40&md5=57e4217099527514b20a83ec00c4a4d7
http://cmuir.cmu.ac.th/handle/6653943832/4310
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