An Evaluation of Ventilator-Associated Pneumonia Process Measure Sampling Strategies in a Surgical ICU

Nishi Rawat, Ting Yang, Kathleen Speck, Jennifer Helzer, Cathleen Barenski, Sean Berenholtz

Research output: Contribution to journalArticle

Abstract

Ventilator-associated pneumonia (VAP) is common, lethal, and expensive. Little is known about optimal strategies to evaluate process measures for VAP prevention. The authors conducted a prospective study of different sampling strategies for evaluating head of bed (HOB) elevation and oral care. There was no significant difference between morning and evening shift HOB elevation compliance rates (P =.47). If oral care was performed at least once during a 12-hour shift, there was an 87% probability that it also was performed at least twice. If oral care was performed at least twice during a 12-hour shift, then there was a 93% probability that chlorhexidine oral care was performed at least once. The results of this study suggest that sampling HOB elevation twice as compared with once daily is unlikely to change the estimate of performance, oral care need not be frequently sampled, and high oral care compliance may predict chlorhexidine oral care compliance.

Original languageEnglish (US)
Pages (from-to)397-402
Number of pages6
JournalAmerican Journal of Medical Quality
Volume29
Issue number5
DOIs
StatePublished - Sep 12 2014

Keywords

  • critical care
  • process assessment
  • quality of health care
  • ventilator-associated pneumonia

ASJC Scopus subject areas

  • Health Policy

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