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[Applying Team Resource Management to the Reduction of Ventilator-Associated Pneumonia in the Intensive Care Unit]

Ching-Wei Chen1, Chia-Ling Lin2, Hua-Ting Chang2

  • 1Medical Intensive Care Unit, Feng-Yuan Hospital of the Ministry of Health and Welfar, Taiwan, ROC.

Hu Li Za Zhi the Journal of Nursing
|June 16, 2015
PubMed
Abstract

Insights

Implementing team resource management and education significantly reduced ventilator-associated pneumonia (VAP) rates in the ICU. This project improved patient care quality and teamwork, lowering VAP from .128% to .065%.

Area of Science:

  • Critical Care Medicine
  • Infection Control
  • Healthcare Management

Context:

  • Ventilator-associated pneumonia (VAP) is a prevalent intensive care unit (ICU) infection.
  • The study unit reported a VAP rate of 0.128% in 2011.
  • Identified issues included knowledge gaps, improper suctioning, low head elevation, humidifier design flaws, infrequent device changes, and cross-contamination risks.

Purpose:

  • To decrease the VAP rate from 0.128% to below 0.1%.
  • To address identified deficiencies in VAP prevention protocols.

Summary:

  • Implemented team resource management (TRM) strategies combined with VAP education.
  • Introduced interventions such as patient head elevation protocols, auto-stop water adding systems for humidifiers, and regular device replacement schedules.
  • Utilized written reminders for sputum accumulation sites.

Impact:

  • Successfully reduced the VAP rate from 0.128% to 0.065%.
  • Enhanced teamwork and overall quality of care within the ICU setting.
  • Demonstrated the effectiveness of a systematic approach to risk identification and intervention in reducing healthcare-associated infections.
Keywords:
intensive careteam resource managementventilator-associated pneumonia

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