title: Development, Implementation and Use of Electronic Surveillance for Ventilator-Associated Events (VAE) in Adults.
abstract: Mechanical ventilation provides an important, life-saving therapy for severely ill patients, but ventilated patients are at an increased risk for complications, poor outcomes, and death during hospitalization.1 The timely measurement of negative outcomes is important in order to identify potential issues and to minimize the risk to patients. The Centers for Disease Control and Prevention (CDC) created an algorithm for identifying Ventilator-Associated Events (VAE) in adult patients for reporting to the National Healthcare Safety Network (NHSN). Currently, the primarily manual surveillance tools require a significant amount of time from hospital infection prevention (IP) staff to apply and interpret. This paper describes the implementation of an electronic VAE tool using an internal clinical data repository and an internally developed electronic surveillance system that resulted in a reduction of labor efforts involved in identifying VAE at Barnes Jewish Hospital (BJH).
authors.affiliation: Washington University School of Medicine, Saint Louis, MO ; BJC HealthCare, Saint Louis, MO.
authors.forename: Ervina
authors.initials: E
authors.lastname: Resetar
authors.affiliation: Barnes Jewish Hospital, Saint Louis, MO.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: McMullen
authors.affiliation: Barnes Jewish Hospital, Saint Louis, MO.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Russo
authors.affiliation: BJC HealthCare, Saint Louis, MO.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Doherty
authors.affiliation: BJC HealthCare, Saint Louis, MO.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Gase
authors.affiliation: Washington University School of Medicine, Saint Louis, MO ; BJC HealthCare, Saint Louis, MO.
authors.forename: Keith F
authors.initials: KF
authors.lastname: Woeltje
mesh_terms: D000328:Adult; D000465:Algorithms; D016519:Hospitals, Religious; D006801:Humans; D007599:Judaism; D016014:Linear Models; D016347:Medical Records Systems, Computerized; D008923:Missouri; D008991:Monitoring, Physiologic / Q000379:methods*; D053717:Pneumonia, Ventilator-Associated / Q000175:diagnosis; D012121:Respiration, Artificial / Q000009:adverse effects*; D055397:Ventilator-Induced Lung Injury / Q000175:diagnosis*