title: Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units.
abstract: Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs). Earlier initiatives used the concept of ventilator care bundles (sets of interventions), with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization). The approach of the Comprehensive Unit-based Safety Program (CUSP) was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework. In August 2015, 17 Intensive Care Units (ICUs) (a total of 271 beds) in eight hospitals in the Kingdom of Saudi Arabia joined the CUSP for MVPs (CUSP 4 MVP) that was conducted in 235 ICUs in 169 US hospitals and led by the Johns Hopkins Armstrong Institute for Patient Safety and Quality. The CUSP 4 MVP project will set the stage for cooperation between multiple hospitals and thus strives to create a countrywide plan for the management of all MVPs in Saudi Arabia.
authors.affiliation: Department of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
authors.forename: Raymond M
authors.initials: RM
authors.lastname: Khan
authors.affiliation: Department of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
authors.forename: Maha
authors.initials: M
authors.lastname: Aljuaid
authors.affiliation: Department of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
authors.forename: Hanan
authors.initials: H
authors.lastname: Aqeel
authors.affiliation: Department of Critical Care, International Extended Care Center, Jeddah, Saudi Arabia.
authors.forename: Mohammed M
authors.initials: MM
authors.lastname: Aboudeif
authors.affiliation: Department of Critical Care, International Extended Care Center, Jeddah, Saudi Arabia.
authors.forename: Shaimaa
authors.initials: S
authors.lastname: Elatwey
authors.affiliation: Department of Critical Care, International Extended Care Center, Jeddah, Saudi Arabia.
authors.forename: Rajeh
authors.initials: R
authors.lastname: Shehab
authors.affiliation: Department of Intensive Care, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Yasser
authors.initials: Y
authors.lastname: Mandourah
authors.affiliation: Department of Intensive Care, King Faisal Hospital and Research Center, Riyadh, Saudi Arabia.
authors.forename: Khalid
authors.initials: K
authors.lastname: Maghrabi
authors.affiliation: Department of Intensive Care, King Faisal Hospital and Research Center, Riyadh, Saudi Arabia.
authors.forename: Hassan
authors.initials: H
authors.lastname: Hawa
authors.affiliation: Department of Medicine, Section of Critical Care Medicine, King Faisal Hospital and Research Center- Gen Org., Jeddah, Saudi Arabia.
authors.forename: Imran
authors.initials: I
authors.lastname: Khalid
authors.affiliation: Department of Medicine, Section of Critical Care Medicine, King Faisal Hospital and Research Center- Gen Org., Jeddah, Saudi Arabia.
authors.forename: Ismael
authors.initials: I
authors.lastname: Qushmaq
authors.affiliation: Department of Anesthesia and Critical Care Medicine, Johns Hopkins Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, USA.
authors.forename: Asad
authors.initials: A
authors.lastname: Latif
authors.affiliation: Department of Anesthesia and Critical Care Medicine, Johns Hopkins Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, USA.
authors.forename: Bickey
authors.initials: B
authors.lastname: Chang
authors.affiliation: Department of Anesthesia and Critical Care Medicine, Johns Hopkins Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, USA.
authors.forename: Sean M
authors.initials: SM
authors.lastname: Berenholtz
authors.affiliation: Department of Intensive Care, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Sultan
authors.initials: S
authors.lastname: Tayar
authors.affiliation: Department of Intensive Care, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
authors.forename: Khloud
authors.initials: K
authors.lastname: Al-Harbi
authors.affiliation: Department of Intensive Care, Al-Emam Abdulrahman Al-Faisal Hospital, Riyadh, Saudi Arabia.
authors.forename: Amin
authors.initials: A
authors.lastname: Yousef
authors.affiliation: Department of Intensive Care, Al-Emam Abdulrahman Al-Faisal Hospital, Riyadh, Saudi Arabia.
authors.forename: Anas A
authors.initials: AA
authors.lastname: Amr
authors.affiliation: Department of Intensive Care, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
authors.forename: Yaseen M
authors.initials: YM
authors.lastname: Arabi
keywords: Care bundles; Comprehensive Unit-based Safety Program; healthcare-associated infections; infection control; patient safety; ventilator-associated pneumonia