Ventilator Associated Pneumoni Pneumonia

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Ventilator Associated Pneumonia Karissa Ellison George Washington University Ventilator Associated Pneumonia Introduction Ventilator Associated Pneumonia (VAP) is defined as pneumonia in a patient who is intubated and ventilated at the time of the onset of the event or 48 hours before, and VAP rate as the number of ventilator-associated pneumonias per 1,000 ventilator days (Institute for Healthcare Improvement, 2014a). The Institute for Healthcare Improvement (IHI) gives the following example of how to calculate the number of VAP’s in a month: “if 25 patients were ventilated during the month and, for purposes of example, each was on mechanical ventilation for 3 days, the number of ventilator days would be 25 x 3 = 75…show more content…
One reason the costs increase is related to the fact that a patient who develops VAP increases their length of stay in the ICU an additional 4 to 9 days. The Centers for Medicare and Medicaid Services has listed VAP as a preventable disease; this could lead to hospitals not being reimbursed for care of patients who develop VAP (Sedwick, Lance-Smith, Reeder, & Nardi, 2012). Promoting strategies to improve this quality measure is imperative because critically ill patients are more vulnerable and susceptible to infections. The focus of ICU’s and the nurses who work there is providing care that patients need and ensuring quality and safety. The purpose of this health care quality indicator is to help nurses and physicians reduce the occurrences of VAP, resulting in reduced mortality and morbidity among ICU patients who are mechanically ventilated, and to reduce costs for hospitals. Quality Improvement Process The Centers for Disease Control’s (CDC) National Healthcare Safety Network (NHSN) is used nationwide to track healthcare-associated infections. NHSN provides data needed to identify problem areas, measure the progress of prevention, and help to eliminate healthcare-associated infections (Centers for Disease Control and Prevention, 2015a). The NHSN provides a surveillance tool that hospitals can use to track VAP events. The CDC
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