title: Achieving and sustaining ventilator-associated pneumonia-free time among intensive care units (ICUs): evidence from the Keystone ICU Quality Improvement Collaborative.
abstract: Our retrospective analysis of the Michigan Keystone intensive care unit (ICU) collaborative demonstrated that adult ICUs could achieve and sustain a zero rate of ventilator-associated pneumonia (VAP) for a considerable number of ventilator and calendar months. Moreover, the results highlight the importance of adjustment for ventilator-days before comparing VAP-free time among ICUs.
authors.affiliation: Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
authors.forename: Dany S
authors.initials: DS
authors.lastname: Matar
authors.forename: Julius C
authors.initials: JC
authors.lastname: Pham
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Louis
authors.forename: Sean M
authors.initials: SM
authors.lastname: Berenholtz
mesh_terms: D003299:Cooperative Behavior; D006742:Hospital Bed Capacity; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D008824:Michigan; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology / Q000517:prevention & control*; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards; D012189:Retrospective Studies; D012307:Risk Factors