Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia
OBJECTIVEThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia. DESIGNPre- and postintervention observational study. SETTINGFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital. PATIENT...
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| Veröffentlicht in: | Critical care medicine 2002-11, Vol.30 (11), p.2407-2412 |
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| creator | Zack, Jeanne E Garrison, Teresa Trovillion, Ellen Clinkscale, Darnetta Coopersmith, Craig M Fraser, Victoria J Kollef, Marin H |
| description | OBJECTIVEThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia.
DESIGNPre- and postintervention observational study.
SETTINGFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital.
PATIENTSPatients requiring mechanical ventilation who developed ventilator-associated pneumonia between October 1, 1999, and September 30, 2001.
INTERVENTIONSAn education program directed toward respiratory care practitioners and intensive care unit nurses was developed by a multidisciplinary task force to highlight correct practices for the prevention of ventilator-associated pneumonia. The program consisted of a ten-page self-study module on risk factors and practice modifications involved in ventilator-associated pneumonia, inservices at staff meetings, and formal didactic lectures. Each participant was required to take a preintervention test before the study module and identical postintervention tests following completion of the study module. Fact sheets and posters reinforcing the information in the study module were also posted throughout the intensive care units and the Department of Respiratory Care Services.
MEASUREMENTS AND MAIN RESULTSOne hundred ninety-one episodes of ventilator-associated pneumonia occurred in 15,094 ventilator days (12.6 per 1,000 ventilator days) in the 12 months before the intervention. Following implementation of the education module, the rate of ventilator-associated pneumonia decreased to 81 episodes in 14,171 ventilator days (5.7 per 1,000 ventilator days), a decrease of 57.6% (p < .001). The estimated cost savings secondary to the decreased rate of ventilator-associated pneumonia for the 12 months following the intervention were between $425,606 and $4.05 million.
CONCLUSIONSA focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia. Education programs should be more widely employed for infection control in the intensive care unit setting and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections. |
| doi_str_mv | 10.1097/00003246-200211000-00001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72695806</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72695806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4521-c9fdb8a0197ccc5600bb0e9e42450445258a38bcf93d28c2172827a21fb26ac93</originalsourceid><addsrcrecordid>eNp1kctuFDEQRS0EIpPALyBvYNfBr354iaLwkCKxgbVVXVPOGLrbg-0m4u9xMwNZ4U2pqs61r64Z41JcS2H7t6IerUzXKCGUlLVrtpF8wnay1bVRVj9lOyGsaLSx-oJd5vytAqbt9XN2IZUxsjfdjo233hMWHj2HhdN-RSghLvyY4n2CmUOYac-h8LTtwnLPy4F4RFxTogVpE_6kpYQJSkwN5BwxQKma40LrHJcAL9gzD1Oml-d6xb6-v_1y87G5-_zh0827uwZNq2SD1u_HAYS0PSK2nRDjKMiSUaYVpiLtAHoY0Vu9VwMq2atB9aCkH1UHaPUVe3O6t3r_sVIubg4ZaZpgobhm16vOtoPoKjicQEwx50TeHVOYIf1yUrgtX_c3X_cv3z8jWaWvzm-sYw3mUXgOtAKvzwBkhMknWDDkR86I6kJtZs2Je4hToZS_T-sDJXcgmMrB_e9_9W-3MZJQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72695806</pqid></control><display><type>article</type><title>Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>Zack, Jeanne E ; Garrison, Teresa ; Trovillion, Ellen ; Clinkscale, Darnetta ; Coopersmith, Craig M ; Fraser, Victoria J ; Kollef, Marin H</creator><creatorcontrib>Zack, Jeanne E ; Garrison, Teresa ; Trovillion, Ellen ; Clinkscale, Darnetta ; Coopersmith, Craig M ; Fraser, Victoria J ; Kollef, Marin H</creatorcontrib><description>OBJECTIVEThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia.
DESIGNPre- and postintervention observational study.
SETTINGFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital.
PATIENTSPatients requiring mechanical ventilation who developed ventilator-associated pneumonia between October 1, 1999, and September 30, 2001.
INTERVENTIONSAn education program directed toward respiratory care practitioners and intensive care unit nurses was developed by a multidisciplinary task force to highlight correct practices for the prevention of ventilator-associated pneumonia. The program consisted of a ten-page self-study module on risk factors and practice modifications involved in ventilator-associated pneumonia, inservices at staff meetings, and formal didactic lectures. Each participant was required to take a preintervention test before the study module and identical postintervention tests following completion of the study module. Fact sheets and posters reinforcing the information in the study module were also posted throughout the intensive care units and the Department of Respiratory Care Services.
MEASUREMENTS AND MAIN RESULTSOne hundred ninety-one episodes of ventilator-associated pneumonia occurred in 15,094 ventilator days (12.6 per 1,000 ventilator days) in the 12 months before the intervention. Following implementation of the education module, the rate of ventilator-associated pneumonia decreased to 81 episodes in 14,171 ventilator days (5.7 per 1,000 ventilator days), a decrease of 57.6% (p < .001). The estimated cost savings secondary to the decreased rate of ventilator-associated pneumonia for the 12 months following the intervention were between $425,606 and $4.05 million.
CONCLUSIONSA focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia. Education programs should be more widely employed for infection control in the intensive care unit setting and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-200211000-00001</identifier><identifier>PMID: 12441746</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cost-Benefit Analysis ; Cross Infection - economics ; Cross Infection - epidemiology ; Cross Infection - etiology ; Cross Infection - prevention & control ; Emergency and intensive respiratory care ; Humans ; Incidence ; Inservice Training - economics ; Inservice Training - methods ; Intensive care medicine ; Intensive Care Units ; Medical sciences ; Missouri - epidemiology ; Pneumonia - economics ; Pneumonia - epidemiology ; Pneumonia - etiology ; Pneumonia - prevention & control ; Programmed Instruction as Topic ; Respiration, Artificial - adverse effects ; Respiratory Therapy - education ; Statistics, Nonparametric</subject><ispartof>Critical care medicine, 2002-11, Vol.30 (11), p.2407-2412</ispartof><rights>2002 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4521-c9fdb8a0197ccc5600bb0e9e42450445258a38bcf93d28c2172827a21fb26ac93</citedby><cites>FETCH-LOGICAL-c4521-c9fdb8a0197ccc5600bb0e9e42450445258a38bcf93d28c2172827a21fb26ac93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14026929$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12441746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zack, Jeanne E</creatorcontrib><creatorcontrib>Garrison, Teresa</creatorcontrib><creatorcontrib>Trovillion, Ellen</creatorcontrib><creatorcontrib>Clinkscale, Darnetta</creatorcontrib><creatorcontrib>Coopersmith, Craig M</creatorcontrib><creatorcontrib>Fraser, Victoria J</creatorcontrib><creatorcontrib>Kollef, Marin H</creatorcontrib><title>Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>OBJECTIVEThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia.
DESIGNPre- and postintervention observational study.
SETTINGFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital.
PATIENTSPatients requiring mechanical ventilation who developed ventilator-associated pneumonia between October 1, 1999, and September 30, 2001.
INTERVENTIONSAn education program directed toward respiratory care practitioners and intensive care unit nurses was developed by a multidisciplinary task force to highlight correct practices for the prevention of ventilator-associated pneumonia. The program consisted of a ten-page self-study module on risk factors and practice modifications involved in ventilator-associated pneumonia, inservices at staff meetings, and formal didactic lectures. Each participant was required to take a preintervention test before the study module and identical postintervention tests following completion of the study module. Fact sheets and posters reinforcing the information in the study module were also posted throughout the intensive care units and the Department of Respiratory Care Services.
MEASUREMENTS AND MAIN RESULTSOne hundred ninety-one episodes of ventilator-associated pneumonia occurred in 15,094 ventilator days (12.6 per 1,000 ventilator days) in the 12 months before the intervention. Following implementation of the education module, the rate of ventilator-associated pneumonia decreased to 81 episodes in 14,171 ventilator days (5.7 per 1,000 ventilator days), a decrease of 57.6% (p < .001). The estimated cost savings secondary to the decreased rate of ventilator-associated pneumonia for the 12 months following the intervention were between $425,606 and $4.05 million.
CONCLUSIONSA focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia. Education programs should be more widely employed for infection control in the intensive care unit setting and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cost-Benefit Analysis</subject><subject>Cross Infection - economics</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - etiology</subject><subject>Cross Infection - prevention & control</subject><subject>Emergency and intensive respiratory care</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inservice Training - economics</subject><subject>Inservice Training - methods</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units</subject><subject>Medical sciences</subject><subject>Missouri - epidemiology</subject><subject>Pneumonia - economics</subject><subject>Pneumonia - epidemiology</subject><subject>Pneumonia - etiology</subject><subject>Pneumonia - prevention & control</subject><subject>Programmed Instruction as Topic</subject><subject>Respiration, Artificial - adverse effects</subject><subject>Respiratory Therapy - education</subject><subject>Statistics, Nonparametric</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctuFDEQRS0EIpPALyBvYNfBr354iaLwkCKxgbVVXVPOGLrbg-0m4u9xMwNZ4U2pqs61r64Z41JcS2H7t6IerUzXKCGUlLVrtpF8wnay1bVRVj9lOyGsaLSx-oJd5vytAqbt9XN2IZUxsjfdjo233hMWHj2HhdN-RSghLvyY4n2CmUOYac-h8LTtwnLPy4F4RFxTogVpE_6kpYQJSkwN5BwxQKma40LrHJcAL9gzD1Oml-d6xb6-v_1y87G5-_zh0827uwZNq2SD1u_HAYS0PSK2nRDjKMiSUaYVpiLtAHoY0Vu9VwMq2atB9aCkH1UHaPUVe3O6t3r_sVIubg4ZaZpgobhm16vOtoPoKjicQEwx50TeHVOYIf1yUrgtX_c3X_cv3z8jWaWvzm-sYw3mUXgOtAKvzwBkhMknWDDkR86I6kJtZs2Je4hToZS_T-sDJXcgmMrB_e9_9W-3MZJQ</recordid><startdate>200211</startdate><enddate>200211</enddate><creator>Zack, Jeanne E</creator><creator>Garrison, Teresa</creator><creator>Trovillion, Ellen</creator><creator>Clinkscale, Darnetta</creator><creator>Coopersmith, Craig M</creator><creator>Fraser, Victoria J</creator><creator>Kollef, Marin H</creator><general>by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200211</creationdate><title>Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia</title><author>Zack, Jeanne E ; Garrison, Teresa ; Trovillion, Ellen ; Clinkscale, Darnetta ; Coopersmith, Craig M ; Fraser, Victoria J ; Kollef, Marin H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4521-c9fdb8a0197ccc5600bb0e9e42450445258a38bcf93d28c2172827a21fb26ac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cost-Benefit Analysis</topic><topic>Cross Infection - economics</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - etiology</topic><topic>Cross Infection - prevention & control</topic><topic>Emergency and intensive respiratory care</topic><topic>Humans</topic><topic>Incidence</topic><topic>Inservice Training - economics</topic><topic>Inservice Training - methods</topic><topic>Intensive care medicine</topic><topic>Intensive Care Units</topic><topic>Medical sciences</topic><topic>Missouri - epidemiology</topic><topic>Pneumonia - economics</topic><topic>Pneumonia - epidemiology</topic><topic>Pneumonia - etiology</topic><topic>Pneumonia - prevention & control</topic><topic>Programmed Instruction as Topic</topic><topic>Respiration, Artificial - adverse effects</topic><topic>Respiratory Therapy - education</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zack, Jeanne E</creatorcontrib><creatorcontrib>Garrison, Teresa</creatorcontrib><creatorcontrib>Trovillion, Ellen</creatorcontrib><creatorcontrib>Clinkscale, Darnetta</creatorcontrib><creatorcontrib>Coopersmith, Craig M</creatorcontrib><creatorcontrib>Fraser, Victoria J</creatorcontrib><creatorcontrib>Kollef, Marin H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zack, Jeanne E</au><au>Garrison, Teresa</au><au>Trovillion, Ellen</au><au>Clinkscale, Darnetta</au><au>Coopersmith, Craig M</au><au>Fraser, Victoria J</au><au>Kollef, Marin H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>2002-11</date><risdate>2002</risdate><volume>30</volume><issue>11</issue><spage>2407</spage><epage>2412</epage><pages>2407-2412</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVEThe purpose of the study was to determine whether an education initiative could decrease the hospital rate of ventilator-associated pneumonia.
DESIGNPre- and postintervention observational study.
SETTINGFive intensive care units in Barnes-Jewish Hospital, an urban teaching hospital.
PATIENTSPatients requiring mechanical ventilation who developed ventilator-associated pneumonia between October 1, 1999, and September 30, 2001.
INTERVENTIONSAn education program directed toward respiratory care practitioners and intensive care unit nurses was developed by a multidisciplinary task force to highlight correct practices for the prevention of ventilator-associated pneumonia. The program consisted of a ten-page self-study module on risk factors and practice modifications involved in ventilator-associated pneumonia, inservices at staff meetings, and formal didactic lectures. Each participant was required to take a preintervention test before the study module and identical postintervention tests following completion of the study module. Fact sheets and posters reinforcing the information in the study module were also posted throughout the intensive care units and the Department of Respiratory Care Services.
MEASUREMENTS AND MAIN RESULTSOne hundred ninety-one episodes of ventilator-associated pneumonia occurred in 15,094 ventilator days (12.6 per 1,000 ventilator days) in the 12 months before the intervention. Following implementation of the education module, the rate of ventilator-associated pneumonia decreased to 81 episodes in 14,171 ventilator days (5.7 per 1,000 ventilator days), a decrease of 57.6% (p < .001). The estimated cost savings secondary to the decreased rate of ventilator-associated pneumonia for the 12 months following the intervention were between $425,606 and $4.05 million.
CONCLUSIONSA focused education intervention can dramatically decrease the incidence of ventilator-associated pneumonia. Education programs should be more widely employed for infection control in the intensive care unit setting and can lead to substantial decreases in cost and patient morbidity attributed to hospital-acquired infections.</abstract><cop>Hagerstown, MD</cop><pub>by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</pub><pmid>12441746</pmid><doi>10.1097/00003246-200211000-00001</doi><tpages>6</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cost-Benefit Analysis Cross Infection - economics Cross Infection - epidemiology Cross Infection - etiology Cross Infection - prevention & control Emergency and intensive respiratory care Humans Incidence Inservice Training - economics Inservice Training - methods Intensive care medicine Intensive Care Units Medical sciences Missouri - epidemiology Pneumonia - economics Pneumonia - epidemiology Pneumonia - etiology Pneumonia - prevention & control Programmed Instruction as Topic Respiration, Artificial - adverse effects Respiratory Therapy - education Statistics, Nonparametric |
| title | Effect of an education program aimed at reducing the occurrence of ventilator-associated pneumonia |
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