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Health Care Safety at National Scale (PDF Presentation, 2008)

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20<br />

15<br />

10<br />

5<br />

0<br />

Ventil<strong>at</strong>or-Associ<strong>at</strong>ed Pneumonia (VAP) R<strong>at</strong>e:<br />

Dominican Hospital, Santa Cruz<br />

17.5<br />

10.3<br />

Sed<strong>at</strong> ion Prot ocol<br />

7.1<br />

3.1<br />

4.5<br />

Respir<strong>at</strong> ory<br />

Prot ocols<br />

0.7<br />

3.8 4.2<br />

IHI Collabor<strong>at</strong> ive<br />

& Vent Bundle<br />

1.7<br />

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005<br />

•Developed and Implemented Aspir<strong>at</strong>ion Precautions<br />

•Implemented revisions to sed<strong>at</strong>ion use Sed<strong>at</strong>ion Protocol<br />

•Standardized Ventil<strong>at</strong>or <strong>Care</strong> in the Unit Respir<strong>at</strong>ory Protocols<br />

0<br />

VAP/ 1000<br />

Vent Days<br />

NNIS<br />

Mean

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