National Approach to Standardize and Improve Mechanical Ventilation

被引:8
作者
Arabi, Yaseen M. [1 ]
Al Aseri, Zohair [3 ,4 ]
Alaama, Tareef [5 ]
Alqahtani, Abdulrahman [6 ]
Alharthy, Abdulrhman [7 ]
Almotairi, Abdullah [8 ]
Al Qasim, Eman [1 ]
Alzahrani, Abdullah A. [2 ]
Al Qarni, Mohammed [2 ]
Abdukahil, Sheryl Ann I. [1 ]
Al-Hameed, Fahad M. [15 ]
Mandourah, Yasser [9 ]
Maghrabi, Khalid [10 ]
Ghamdi, Adnan [11 ]
Almekhalfi, Ghaleb [11 ]
Mady, Ahmed [7 ]
Qureshi, Ahmed S. [16 ]
Qushmaq, Ismael [17 ]
Alshahrani, Mohammed S. [18 ]
Alkatheri, Mufareh [2 ]
Saawi, Abdulmohsen [2 ]
AlHazme, Raed H. [12 ,19 ]
Berenholtz, Sean M. [20 ]
Latif, Asad [20 ]
Al-Moamary, Mohamed S. [13 ]
Mohrij, Saad [14 ]
机构
[1] King Saud Bin Abdulaziz Univ Hlth Sci, King Abdullah Int Med Res Ctr, Coll Med, Dept Intens Care,King Abdulaziz Med City, Riyadh, Saudi Arabia
[2] King Saud Bin Abdulaziz Univ Hlth Sci, King Abdullah Int Med Res Ctr, Coll Med, Dept Qual & Patient Safety,King Abdulaziz Med Cit, Riyadh, Saudi Arabia
[3] King Saud Univ, Minist Hlth, Adult Intens Care Dev Program, Emergency Care Dept,Med City, Riyadh, Saudi Arabia
[4] King Saud Univ, Minist Hlth, Adult Intens Care Dev Program, Intens Care Dept,Med City, Riyadh, Saudi Arabia
[5] Minist Hlth, Deputyship Curat Serv, Riyadh, Saudi Arabia
[6] King Saud Med City, Minist Hlth, Natl Emergency Med Dev Program, Riyadh, Saudi Arabia
[7] King Saud Med City, Dept Intens Care, Riyadh, Saudi Arabia
[8] King Fahad Med City, Dept Pulm & Crit Care Med, Riyadh, Saudi Arabia
[9] Minist Def, Mil Med Serv, Riyadh, Saudi Arabia
[10] King Faisal Specialist Hosp & Res Ctr, Dept Intens Care, Riyadh, Saudi Arabia
[11] Prince Sultan Mil Med City, Dept Intens Care Serv, Riyadh, Saudi Arabia
[12] King Saud Bin Abdulaziz Univ Hlth Sci, King Abdulaziz Med City, Coll Publ Hlth & Hlth Informat, Dept Hlth Informat, Riyadh, Saudi Arabia
[13] King Saud Bin Abdulaziz Univ Hlth Sci, King Abdulaziz Med City, Coll Med, Dev & Qual Management,Med Serv, Riyadh, Saudi Arabia
[14] King Saud Bin Abdulaziz Univ Hlth Sci, Minist Natl Guard Hlth Affairs, Coll Med, Riyadh, Saudi Arabia
[15] King Saud Bin Abdulaziz Univ Hlth Sci, King Abdulaziz Med City, Coll Med, Dept Intens Care, Madinah, Saudi Arabia
[16] King Saud Bin Abdulaziz Univ Hlth Sci, Prince Mohammed Bin Abdul Aziz Hosp, Coll Med, Madinah, Saudi Arabia
[17] King Faisal Specialist Hosp & Res Ctr, Dept Med, Med & Clin Affairs, Jeddah, Saudi Arabia
[18] Imam Abdulrahman Bin Faisal Univ, King Fahd Hosp Univ, Coll Med, Dept Emergency & Crit Care Med, Dammam, Saudi Arabia
[19] Nova Southeastern Univ, Coll Osteopath Med, Ft Lauderdale, FL 33314 USA
[20] Johns Hopkins Med, Armstrong Inst Patient Safety & Qual, Baltimore, MD USA
关键词
Evidence-based practice; mechanical ventilation; ventilator-associated event; ventilator-associated pneumonia; BLOOD-STREAM INFECTIONS; INTENSIVE-CARE UNITS; MULTIFACETED INTERVENTION; SAFETY PROGRAM; PNEUMONIA; SURVEILLANCE; PREVENTION; IMPACT; COMPLICATIONS; EVENTS;
D O I
10.4103/atm.ATM_63_19
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
NASAM (National Approach to Standardize and Improve Mechanical Ventilation) is a national collaborative quality improvement project in Saudi Arabia. It aims to improve the care of mechanically ventilated patients by implementing evidence-based practices with the goal of reducing the rate of ventilator-associated events and therefore reducing mortality, mechanical ventilation duration and intensive care unit (ICU) length of stay. The project plans to extend the implementation to a total of 100 ICUs in collaboration with multiple health systems across the country. As of March 22, 2019, a total of 78 ICUs have registered from 6 different health sectors, 48 hospitals, and 27 cities. The leadership support in all health sectors for NASAM speaks of the commitment to improve the care of mechanically ventilated patients across the kingdom.
引用
收藏
页码:101 / 105
页数:5
相关论文
共 31 条
[1]  
Agency for Healthcare Research and Quality, TOOLK IMPR SAF MECH
[2]   The results of a 6-year epidemiologic surveillance for ventilator-associated pneumonia at a tertiary care intensive care unit in Saudi Arabia [J].
Al-Dorzi, Hasan M. ;
El-Saed, Aiman ;
Rishu, Asgar H. ;
Balkhy, Hanan H. ;
Memish, Ziad A. ;
Arabi, Yaseen M. .
AMERICAN JOURNAL OF INFECTION CONTROL, 2012, 40 (09) :794-799
[3]   Reduction and surveillance of device-associated infections in adult intensive care units at a Saudi Arabian hospital, 2004-2011 [J].
Al-Tawfiq, Jaffar A. ;
Amalraj, Antony ;
Memish, Ziad A. .
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2013, 17 (12) :E1207-E1211
[4]   Decreasing ventilator-associated pneumonia in adult intensive care units using the Institute for Healthcare Improvement bundle [J].
Al-Tawfiq, Jaffar A. ;
Abed, Mahmoud S. .
AMERICAN JOURNAL OF INFECTION CONTROL, 2010, 38 (07) :552-556
[5]   Association of compliance of ventilator bundle with incidence of ventilator-associated pneumonia and ventilator utilization among critical patients over 4 years [J].
Al-Thaqafy, Majid S. ;
El-Saed, Aiman ;
Arabi, Yaseen M. ;
Balkhy, Hanan H. .
ANNALS OF THORACIC MEDICINE, 2014, 9 (04) :221-226
[6]  
[Anonymous], HOSP SURV PAT SAF CU
[7]   Ventilator-associated pneumonia in adults in developing countries: a systematic review [J].
Arabi, Yaseen ;
Al-Shirawi, Nehad ;
Memish, Ziad ;
Anzueto, Antonio .
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2008, 12 (05) :505-512
[8]   Eliminating Central Line-Associated Bloodstream Infections: A National Patient Safety Imperative [J].
Berenholtz, Sean M. ;
Lubomski, Lisa H. ;
Weeks, Kristina ;
Goeschel, Christine A. ;
Marsteller, Jill A. ;
Pham, Julius C. ;
Sawyer, Melinda D. ;
Thompson, David A. ;
Winters, Bradford D. ;
Cosgrove, Sara E. ;
Yang, Ting ;
Louis, Thomas A. ;
Lucas, Barbara Meyer ;
George, Christine T. ;
Watson, Sam R. ;
Albert-Lesher, Mariana I. ;
St Andre, Justin R. ;
Combes, John R. ;
Bohr, Deborah ;
Hines, Stephen C. ;
Battles, James B. ;
Pronovost, Peter J. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (01) :56-62
[9]   Collaborative Cohort Study of an Intervention to Reduce Ventilator-Associated Pneumonia in the Intensive Care Unit [J].
Berenholtz, Sean M. ;
Pham, Julius C. ;
Thompson, David A. ;
Needham, Dale M. ;
Lubomski, Lisa H. ;
Hyzy, Robert C. ;
Welsh, Robert ;
Cosgrove, Sara E. ;
Sexton, J. Bryan ;
Colantuoni, Elizabeth ;
Watson, Sam R. ;
Goeschel, Christine A. ;
Pronovost, Peter J. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2011, 32 (04) :305-314
[10]   Shifting the Paradigm: Preventing More Than Infection [J].
Cawcutt, Kelly A. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2018, 39 (06) :644-646