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About:
Implementing the comprehensive unit-based safety program model to improve the management of mechanically ventilated patients in Saudi Arabia
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An Entity of Type :
schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Implementing the comprehensive unit-based safety program model to improve the management of mechanically ventilated patients in Saudi Arabia
Creator
Khan, Raymond
Al-Juaid, Xmaha
Al-Mutairi, Xhanan
Alchin, Xjohn
Arabi, M
Burrows, Xvictoria
Kalantan, Xbasim
Khan, M
Matroud, Xamal
Naidv, Xbrintha
Tan, X
Xgeorge Bibin, X
Xmd, X
Xmpt, X
Xmsc, X
Xraymond, X
Xrn, X
Xsalha Zayer, X
Xyaseen, X
topic
covid:db2d0ec9034b70105da0c56b4681afe38cc63ac5#this
Source
Elsevier; Medline; PMC
abstract
Background Ventilator-associated events are common in mechanically ventilated patients. They are associated with more days on mechanical ventilation, longer intensive care unit (ICU) stay, and increased risk of mortality. Theoretically, interventions that prevent ventilator-associated events should also reduce associated morbidity. We evaluated the Comprehensive Unit-based Safety Program approach to improve the care of mechanically ventilated patients. Methods All mechanically ventilated patients admitted to the ICU between October 1, 2015, and October 31, 2016, were prospectively monitored for the development of ventilator-associated events according to the National Healthcare Safety Network criteria. A process care bundle (endotracheal intubation with subglottic suctioning, head-of-bed elevation ≥30°, target sedation scores, daily spontaneous awakening trials, spontaneous breathing trials), daily delirium assessment, and an early mobility protocol were instituted. The bundle compliance, ventilator-associated events rates, ICU length of stay, and mortality rate were noted. The database allowed viewing of current rates, trends, and averages of all participating sites. Results In the study period, 2,321 patients were admitted to the ICU, and 1,231 required mechanical ventilation (10,342 ventilator days). There were 115 ventilator-associated events: 82 ventilator-associated conditions, 15 infection-related ventilator-associated conditions, and 18 possible cases of ventilator-associated pneumonia. The ICU mortality rate was 13.3%, compared with 28.7% for those mechanically ventilated patients with ventilator-associated events (P = .0001). There was increased compliance for spontaneous awakening trials (51.5%-76.9%, P = .0008) and spontaneous breathing trials (54.2%-72.2%, P = .02) and a decrease in infection-related ventilator-associated conditions (4.2-3.5 per 1,000 days), possible cases of ventilator-associated pneumonia (2.1-1.7 per 1,000 days), ICU mortality (45.3%-19.1%, P = .045), and ventilator-associated events associated mortality rates (33.3%-8.3%, P < .37). Physical therapy participation and mobility were 60.8% and 26.4%, respectively. Conclusion The implementation of a multipronged program like the Comprehensive Unit-based Safety Program could improve the care processes and outcomes of mechanically ventilated patients.
has issue date
2019-01-31
(
xsd:dateTime
)
bibo:doi
10.1016/j.ajic.2018.06.022
bibo:pmid
30193800
has license
els-covid
sha1sum (hex)
db2d0ec9034b70105da0c56b4681afe38cc63ac5
schema:url
https://doi.org/10.1016/j.ajic.2018.06.022
resource representing a document's title
Implementing the comprehensive unit-based safety program model to improve the management of mechanically ventilated patients in Saudi Arabia
has PubMed Central identifier
PMC7115308
has PubMed identifier
30193800
schema:publication
American Journal of Infection Control
resource representing a document's body
covid:db2d0ec9034b70105da0c56b4681afe38cc63ac5#body_text
is
http://vocab.deri.ie/void#inDataset
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https://covidontheweb.inria.fr:4443/about/id/http/ns.inria.fr/covid19/db2d0ec9034b70105da0c56b4681afe38cc63ac5
is
schema:about
of
named entity 'mortality rate'
named entity 'subglottic'
named entity 'compared'
named entity 'delirium'
named entity 'events'
named entity 'There'
named entity 'mechanically ventilated'
named entity 'ICU'
named entity 'mechanical ventilation'
named entity 'Medical'
named entity 'Medical'
named entity 'COMPLIANCE'
named entity 'MORTALITY RATE'
named entity 'ADMITTED TO'
named entity 'SCORES'
named entity 'SEDATION'
named entity 'INCREASED RISK'
named entity 'PROTOCOL'
named entity 'CARE OF'
named entity 'MORTALITY'
named entity 'PROGRAM'
named entity 'COMPREHENSIVE'
named entity 'OCTOBER'
named entity '3.5'
named entity 'DELIRIUM'
named entity 'DAYS'
named entity 'NETWORK'
named entity 'MORBIDITY'
named entity '28P'
named entity 'EARLY'
named entity 'ALLOWED'
named entity 'NOTED'
named entity 'INFECTION'
named entity 'OF-'
named entity 'NATIONAL'
named entity 'PREVENT'
named entity 'HEALTHCARE'
named entity '282'
named entity 'SITES'
named entity 'LENGTH OF STAY'
named entity '30%'
named entity 'UNIT'
named entity 'EVALUATED'
named entity 'PERIOD'
named entity 'PROCESS'
named entity 'RELATED'
named entity 'CONDITIONS'
named entity 'MECHANICAL VENTILATION'
named entity 'CASES'
named entity 'CRITERIA'
named entity 'ACCORDING'
named entity 'INTUBATION'
named entity 'COMMON'
named entity 'SURGICAL INTENSIVE CARE UNIT'
named entity 'COMPARED'
named entity 'TARGET'
named entity '2015'
named entity '115'
named entity 'ASSOCIATED'
named entity 'VIEWING'
named entity 'REQUIRED'
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