Bundles and ventilator-acquired pneumonia

Authors

  • A. Foucrier Paris et université Paris-VII-Denis-Diderot, AP-HP
  • B. Mourvilier Paris et université Paris-VII-Denis-Diderot, AP-HP
  • M. Wolff Paris et université Paris-VII-Denis-Diderot, AP-HP
  • L. Bouadma Paris et université Paris-VII-Denis-Diderot, AP-HP

DOI:

https://doi.org/10.1007/s13546-011-0334-z

Abstract

The Institute for Healthcare Improvement (IHI) developed the concept of “bundles” to help healthcare providers to improve the reliability of delivery of essential healthcare processes. “Bundles” are a grouping of a small and simple set of practices — generally three to five — which are well established practices — when used individually, are found to be effective to improve patients’ outcomes — when performed collectively and reliably are expected to result in a better outcome than when implemented individually. The following steps have been recommended for the development of a bundle: identify and implement a set of three to six evidence-based clinical practices and measure compliance with the clinical practices as “all” or “nothing”, that combines the best of medical and improvement sciences: In this review, we discuss how to design a “bundle” to improve the prevention of ventilator-acquired pneumonia. Although some authors have reported dramatic reduction in the rate of ventilator-acquired pneumonia, no study has yet demonstrated the effectiveness of this methodology on the patients’ outcomes.

Published

2011-12-03

How to Cite

Foucrier, A., Mourvilier, B., Wolff, M., & Bouadma, L. (2011). Bundles and ventilator-acquired pneumonia. Médecine Intensive Réanimation, 21(Suppl. 2), 434–444. https://doi.org/10.1007/s13546-011-0334-z

Issue

Section

Enseignement Supérieur En Réanimation

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