Michigan ICUs Significantly Reduce Pneumonia Rates in Patients on Ventilators

This guest post is by Sam R. Watson, senior vice president, Patient Safety and Quality at the Michigan Health & Hospital Association and executive director of the MHA Keystone Center for Patient Safety & Quality.

Michigan hospital intensive care units (ICUs) reduced the rate of pneumonia in patients who are on ventilators by 71 percent through a Michigan Health & Hospital Association (MHA) Keystone Center for Patient Safety & Quality initiative, according to the recently published Infection Control and Hospital Epidemiology journal.

Comprehensive Unit-Based Safety Program

MHA Keystone: ICU demonstrated that using the Comprehensive Unit-Based Safety Program (CUSP) and implementation of guidelines by the Centers for Disease Control and Prevention, such as checklists and hand washing, resulted in significant, sustainable reductions in ventilator-associated pneumonia (VAP) for the 112 participating Michigan hospitals.

The Agency for Healthcare Research and Quality has contracted with the American Hospital Association’s Health Research & Educational Trust to implement the CUSP nationwide through “On the CUSP: Stop BSI,” modeled after the MHA Keystone: ICU collaborative. Implementation of the CUSP has previously proven successful in reducing the number of central-line-associated bloodstream infections in Michigan ICU patients.

About MHA Keystone: ICU

Launched in October 2003, MHA Keystone: ICUreduces central-line-associated bloodstream infections and VAP that occur in ICU patients. The collaborative remains the most successful regional partnership of ICUs ever assembled in a single patient safety initiative and includes more than 70 Michigan hospitals.

MHA Keystone: ICU has achieved significant, measurable patient safety improvements while saving lives and reducing health care costs. From March 2004 to March 2010, the initiative resulted in more than 1,830 lives saved, more than 140,700 excess hospital days avoided and more than $300 million in health care dollars saved.

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