Daily Goals Checklist—A Goal-Directed Method to Eliminate Nosocomial Infection in the Intensive Care Unit

Khorfan, Fahim

doi:10.1111/j.1945-1474.2008.tb01165.x

Cited by 9 publications

(17 citation statements)

References 5 publications

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“…The evidence for these additional elements is not based on research of patients who are mechanically ventilated and therefore they may not be suitable as VCB components. Rather, they are better suited as an addition to a daily patient goals checklist, where the VCB is also a component (DuBose et al, 2008;Khorfan, 2008). Another addition to the VCB in several of the studies was oral care (Berriel-Cass et al, 2006;Hatler et al, 2006;Khorfan, 2008), which is supported by strong evidence.…”

Section: Bundle Elementsmentioning

confidence: 59%

“…Rather, they are better suited as an addition to a daily patient goals checklist, where the VCB is also a component (DuBose et al, 2008;Khorfan, 2008). Another addition to the VCB in several of the studies was oral care (Berriel-Cass et al, 2006;Hatler et al, 2006;Khorfan, 2008), which is supported by strong evidence. A metaanalysis of chlorhexidine oral care indicated a VAP reduction of 30%, with the benefit most marked in cardiac surgery patients (Chlebicki & Safdar, 2007).…”

Section: Bundle Elementsmentioning

confidence: 59%

“…Compliance with sedation holds was also difficult because of minimal physician support. Khorfan (2008) reported perfect compliance with both DVT and gastric ulcer prophylaxis, whereas Crunden et al (2005) reported decreased compliance with their DVT protocol.…”

Section: Vcb Compliancementioning

confidence: 99%

“…Overall, there was a trend in the reduction of VAP incidence per 1000 days with lowest and highest reductions being 34% (Unahalekhaka et al, 2007) and 85% (Khorfan, 2008). Of the eight studies reporting VAP rates, most used the CDC diagnosis guidance (Tablan et al, 2003;CDC, 2009).…”

Section: Vap Ratesmentioning

confidence: 99%

“…Two studies used posters for weekly feedback, using graphs and other descriptions (Hampton et al, 2005;Hatler et al, 2006), and three other studies provided feedback monthly (Crunden et al, 2005;Berriel-Cass et al, 2006;Youngquist et al, 2007). Khorfan (2008) described sharing results but provided little detail about how it was done. Crunden et al (2005) commented that monthly feedback was important because it reminded clinical staff about their accountability and helped to maintain a priority focus on the intervention.…”

Section: Implementation Strategiesmentioning

confidence: 99%

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The ventilator care bundle and its impact on ventilator‐associated pneumonia: a review of the evidence

Lawrence

Fulbrook

2011

Nursing in Critical Care

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Aims and objectives:The aim of this review was to critically analyse recent research that has investigated ventilator care bundle (VCB) use, with the objective of analysing its impact on ventilator-associated pneumonia (VAP) outcomes. Background: The VCB is a group of four evidence-based procedures, which when clustered together and implemented as an 'all or nothing' strategy, may result in substantial clinical outcome improvement. VAP is a nosocomial lung infection associated with endotracheal tube use in ventilated patients. Since the VCB was introduced there have been several studies that have reported significant VAP rate reductions. Search strategy: A comprehensive search for research, published between 2004 and 2009, was conducted using Medline and PubMed. Key words were used to identify English language studies reporting VCB implementation within adult intensive care units (ICU) and associated clinical outcomes. Studies that implemented bundle variations that did not include all four elements were excluded. Conclusions: Because of the limitations of the observational designs used in the studies retrieved, a definitive causal relationship between VCB use and VAP reduction cannot be stated. However, the evidence to date is strongly indicative of a positive association. Several studies reported the use of additional VCB elements. In these cases it is difficult to establish which elements are related to the measured outcomes. Further research is recommended to establish baseline outcome measures using the four-element VCB, before adding further processes singly, as well as research investigating the effect of audit and feedback on VCB compliance and its effect on clinical outcomes. Relevance to clinical practice: A reduction in VAP is associated with VCB use. The evidence to date, whilst not at the highest experimental level, is at the highest ethically permissible level. In the absence of contradictory research, the current evidence suggests that use of the VCB represents best practice for all eligible adult ventilated patients in ICU.

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Section: Bundle Elementsmentioning

confidence: 59%

Section: Bundle Elementsmentioning

confidence: 59%

Section: Vcb Compliancementioning

confidence: 99%

Section: Vap Ratesmentioning

confidence: 99%

Section: Implementation Strategiesmentioning

confidence: 99%

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The ventilator care bundle and its impact on ventilator‐associated pneumonia: a review of the evidence

Lawrence

Fulbrook

2011

Nursing in Critical Care

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Using checklists in a gross anatomy laboratory improves learning outcomes and dissection quality

Höfer

Nikolaus

Pawlina

2011

Anatomical Sciences Ed

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Checklists have been widely used in the aviation industry ever since aircraft operations became more complex than any single pilot could reasonably remember. More recently, checklists have found their way into medicine, where cognitive function can be compromised by stress and fatigue. The use of checklists in medical education has rarely been reported, especially in the basic sciences. We explored whether the use of a checklist in the gross anatomy laboratory would improve learning outcomes, dissection quality, and students' satisfaction in the first-year Human Structure didactic block at Mayo Medical School. During the second half of a seven-week anatomy course, dissection teams were each day given a hardcopy checklist of the structures to be identified during that day's dissection. The first half of the course was considered the control, as students did not receive any checklists to utilize during dissection. The measured outcomes were scored on four practice practical examinations and four dissection quality assessments, two each from the first half (control) and second half of the course. A student satisfaction survey was distributed at the end of the course. Examination and dissection scores were analyzed for correlations between practice practical examination score and checklist use. Our data suggest that a daily hardcopy list of anatomical structures for active use in the gross anatomy laboratory increases practice practical examination scores and dissection quality. Students recommend the use of these checklists in future anatomy courses.

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Quality management of patient care

Romig¹,

Latif²,

Pronovost³

2016

Quality Management in Intensive Care

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Daily Goals Checklist—A Goal-Directed Method to Eliminate Nosocomial Infection in the Intensive Care Unit

Cited by 9 publications

References 5 publications

The ventilator care bundle and its impact on ventilator‐associated pneumonia: a review of the evidence

The ventilator care bundle and its impact on ventilator‐associated pneumonia: a review of the evidence

Using checklists in a gross anatomy laboratory improves learning outcomes and dissection quality

Quality management of patient care

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