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Achieving and Sustaining Ventilator-Associated Pneumonia–Free Time among Intensive Care Units (ICUs): Evidence from the Keystone ICU Quality Improvement Collaborative

Published online by Cambridge University Press:  02 January 2015

Dany S. Matar
Affiliation:
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Julius C. Pham
Affiliation:
Johns Hopkins Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Emergency Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland
Thomas A. Louis
Affiliation:
Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Sean M. Berenholtz*
Affiliation:
Johns Hopkins Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Surgery, School of Medicine, Johns Hopkins University, Baltimore, Maryland Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
*
Johns Hopkins University, Armstrong Institute for Patient Safety and Quality, 750 E. Pratt Street, 15th Floor, Baltimore, MD 21202 ([email protected]).

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.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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