Trauma VAP SWAT team: a rapid response to infection prevention.
The prevention of ventilator-associated pneumonia (VAP) has been a challenge within many healthcare organizations. The initial efforts for VAP prevention focused on compliance with "ventilator bundles." VAP rates initially improved with implementation of the bundles but then reached a plateau. The trauma surgical intensive care unit (ICU) was interested in investigating measures to further improve the prevention of VAP after bundle implementation. A multidisciplinary team was formed to investigate innovative strategies to prevent VAP. The group identified their initial focus as head of bed (HOB) elevation intervention within and outside of the ICU through HOB audits and a transport checklist. Through these efforts, the VAP rate within the trauma surgical ICU dropped to the lowest level in 4 years.
Laux
Lori
L
Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA. llaux@wpahs.org
Dysert
Karen
K
Kiely
Sharon
S
Weimerskirch
Jeff
J
D057189:Checklist; D003422:Critical Care / Q000458:organization & administration*; D019091:Critical Pathways / Q000458:organization & administration; D057209:Hospital Rapid Response Team / Q000458:organization & administration*; D006801:Humans; D017053:Infection Control / Q000458:organization & administration*; D053717:Pneumonia, Ventilator-Associated / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D014193:Trauma Centers; D014481:United States; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy