Web site spotlight: Lower VAP rates by using electronics

Staff Development Weekly: Insight on Evidence-Based Practice in Education, May 15, 2009

University of Pennsylvania Health System (UPHS) in Philadelphia lowered its ventilator-associated pneumonia (VAP) rates by using an electronic ICU (eICU) to monitor patients.

The eICU contains three surveillance stations: two for each of the nurses and one for the physician. There is a smaller setup for the data coordinator as well. A surveillance station contains six computer screens, each displaying pertinent data, pictures, or video, mounted on a desktop. A phone and alarms are attached.

Joseph DiMartino, BSN, RN, outcomes coordinator at the Penn E-lert eICU at UPHS, explains that bedside caregivers often set patient alarms so they only go off in an emergency and are not ringing all day and becoming a distraction. The eICU’s system is set to be alerted whenever there is a 20% or higher change in a vital sign, and the eICU staff can alert the bedside caregiver if necessary.

Currently, the eICU is staffed by two nurses from 11 a.m. to 11 p.m. and one nurse from 11 p.m. to 11 a.m. Additionally, a physician monitors the eICU from 7 p.m. to 7 a.m. The data coordinator’s shifts vary.

The eICU surveillance team is trained to watch for the care techniques identified in the Institute for Healthcare Improvement’s bundle of care for preventing VAP. This means head-of-bed elevation between 30º and 45º and prophylaxis for prevention of stress ulcers and deep vein thrombosis. The bedside caregivers are responsible for measuring the patient’s readiness to extubate and ensuring that daily sedation holidays have been implemented.

Since implementing the eICU, UPHS has reduced VAP rates from 17 in 2006 to 9 in 2007.

Editor’s note: This excerpt was adapted fromHealth system lowers VAP rates with eICUfound in the Reading Room at Get a free trial membership that will give you 30 days to test drive all the exciting features on the Web site.

    Briefings on Accreditation and Quality
  • Briefings on Accreditation and Quality

    Briefings on Accreditation and Quality will help you with all of your accreditation and survey preparation needs. Every...

  • Hospital Safety Center

    Improve compliance with hospital safety standards from The Joint Commission, OSHA, and other regulators with this...

  • Healthcare Life Safety Compliance

    Created exclusively for healthcare facility managers, plant operations professionals, and directors of engineering, this...

  • Strategies for Nurse Managers

    Strategies for Nurse Managers is a 12-page monthly how-to newsletter that was created exclusively to help you save time...

  • The Infection Prevention Handbook

    The Infection Prevention Handbook is a core training resource that offers practical references to help infection prevention...

Most Popular