Impact and feasibility of an emergency department–based ventilator-associated pneumonia bundle for patients intubated in an academic emergency department

• Published in: American journal of infection control 2017-02, Vol.45 (2), p.151-157
• Main Authors: DeLuca, Lawrence A., EdD, MD, Walsh, Paul, MD, Davidson, Donald D., MD, Stoneking, Lisa R., MD, Yang, Laurel M., MD, Grall, Kristi J.H., MD, Gonzaga, M. Jessica, RN, MSN, NP-C, CEN, Larson, Wanda J., RN, PhD, Stolz, Uwe, PhD, Sabb, Dylan M., BS, Denninghoff, Kurt R., MD
• Format: Article
• Language: English
• Subjects: Academic Medical Centers; Acute respiratory failure; Adult; Aged; Aged, 80 and over; Emergency medical care; Emergency medicine; Emergency Service, Hospital; Feasibility; Female; Hospital-acquired infection; Humans; Impact analysis; Infection Control; Infection Control - methods; Infection prevention; Infectious Disease; Male; Middle Aged; Patient Care Bundles - methods; Pneumonia; Pneumonia, Ventilator-Associated - epidemiology; Pneumonia, Ventilator-Associated - prevention & control; Prospective Studies; Retrospective Studies; Ventilator-associated pneumonia; Young Adult
• ISSN: 0196-6553; 1527-3296
• DOI: 10.1016/j.ajic.2016.05.037

Highlights • Ventilator-associated pneumonia prevention is standard care in the intensive care unit, but not yet in the emergency department. • Ventilator-associated pneumonia occurs frequently in emergency department intubated patients who may remain in the emergency department for many hours. • Starting ventilator-associated pneumonia prevention in the emergency department results in decreased overall and early ventilator-associated pneumonia for these patients. • High rates of compliance with an emergency department–based ventilator-associated pneumonia bundle can be achieved. • Bundle compliance is improved with a registered nurse (RN) champion.