Development and validation of an automated ventilator-associated event electronic surveillance system: A report of a successful implementation

Hebert, Courtney; Flaherty, Jennifer; Smyer, Justin; Ding, Jing; Mangino, Julie E.

doi:10.1016/j.ajic.2017.09.006

Cited by 19 publications

(29 citation statements)

References 13 publications

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“…studies corresponding to years previous to the 2015 update refer to possible pneumonia as a different concept as subsequent studies following the new update. Automated surveillance for ventilator-associated events through an updated electronic algorithm can help to solve some of these misunderstanding problems in addition to save hours of staff time spent in chart review (Hebert et al, 2018;Shenoy et al, 2018) but again, the terms could not to be properly used (Mann et al, 2015).…”

Section: Considerations When Reviewing Vae Research In the Literaturementioning

confidence: 99%

Ventilator-Associated Events: Definitions and Uses

Peña-López¹

2022

Encyclopedia of Respiratory Medicine

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Section: Considerations When Reviewing Vae Research In the Literaturementioning

confidence: 99%

Ventilator-Associated Events: Definitions and Uses

Peña-López¹

2022

Encyclopedia of Respiratory Medicine

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“…A recent adult study confirmed that automated data extraction is feasible with 100% sensitivity and accuracy when compared with the manual method (Hebert, Flaherty, Smyer, Ding, & Mangino, 2017). Collaboration between clinicians and experts in medical information and systems technology may result in an innovative data extraction platform (Magill et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…The impact of VAP relates not only to morbidity, but also to increases in healthcare expenditure (Muscedere, Day, & Heyland, 2010). Despite the limitations of current VAP surveillance tools, surveillance is vital to assess VAP incidence rates, the development of preventative strategies and strategic planning (Hebert et al, 2017;VICNISS Healthcare Associated Infection Surveillance, 2015). Furthermore, surveillance enables evaluation of improvements in VAP preventative measures undertaken in the unit (Wong, Mathieu, & Williams, 2012).…”

Section: Summary Of the Thesismentioning

confidence: 99%

“…Meaningful comparison for planning strategic preventative strategies would benefit from the use of objective criteria in the VAE surveillance tool and an automatic data extraction device, such as a VAE dashboard. This may overcome the subjectivity and labour requirements currently hampering VAP surveillance activities (Hebert et al, 2017).…”

Section: Summary Of the Thesismentioning

confidence: 99%

“…It is expected that the application of VAE surveillance tools will be mandated in children, although the present evidence on paediatric versions of VAE surveillance version is still insufficient (Mohd Ali et al, 2019). The ready availability of the clinical data in the electronic medical records made surveillance of VAE in children possible and may have been able to minimise inter-observer bias as well as increase the accuracy of data collected (as compared to what might be gathered via the manual method) (Hebert et al, 2017;Stevens et al, 2014). The electronic medical record Metavision (iMDsoft®), used in this study is not able to perform an automatic retrieval of the clinical data for VAE surveillance purposes, but this presents an opportunity for future collaboration between information technology personnel and clinicians in designing automatic data retrieval, which could reduce the amount of time required to collate data (Hebert et al, 2017;Stevens et al, 2014).…”

Section: General Implications and Future Directionsmentioning

confidence: 99%

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An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Ali¹,

Azizah²

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Background: Ventilator-associated pneumonia (VAP) is an ongoing iatrogenic burden within the healthcare system for both adults and paediatrics. Debate continues over the appropriateness of the VAP surveillance tool in paediatrics. Implementation of the new ventilator-associated events (VAE) surveillance tool in the adult setting have shown to overcome the subjectivity of the traditional pneumonia 1 VAP (PNU1/VAP) surveillance tool. Unlike in adult units, the application of the VAE surveillance tool in paediatrics has not been mandated, leaving a question as to its potential application. The lack of VAP paediatric specific studies has hampered progress informing compliance with VAP preventative strategies in paediatric intensive care units (PICUs). Despite good hand hygiene practise being established as a vital infection control measure, perception of 'Speaking up for hand hygiene' in PICU still under-research. Hence, it became a potential area to improve good hygiene practice. Aim: To determine the VAP and VAE incidence using two surveillance tools at two time points; at baseline and post an education campaign aimed at both PICU staff and parents. In addition to testing the two surveillance tools, compliance auditing and staff and parental perspectives of VAP/VAE and preventative strategies was established. Methods: Retrospective study: PNU1/VAP and VAE surveillance tools were applied to 262 mechanical episodes of 234 children who received invasive mechanical ventilation ≥48 hours in PICU in 2015. The sensitivity and specificity of VAE surveillance tool was tested. Other epidemiological data were recorded; demographic characteristics, risk factors and VAP preventative strategies documented within the unit. VAP education, VAP compliance auditing with feedback and surveys: reinforcement of updated VAP education was launched for PICU staff, and a pamphlet focusing on 'Speaking up for hand hygiene' was developed primarily to educate parents. The information was delivered to parents (N=37) via a pamphlet and face-to-face education. VAP compliance auditing was conducted for a two-month period and involved 37 patients in PICU undergoing VAP preventative strategies implemented by PICU staff and parents: hand hygiene, oral hygiene, endotracheal tube (ETT) suctioning, ETT cuff pressure checks, head of bed elevation, ventilator circuit checks, and early enteral feeding commencement. The parents' and nurses' perceptions of 'Speaking up for hand hygiene' were examined through surveys undertaken by 19 parents and 34 nurses. ii Prospective study: a six-month prospective study was conducted to investigate any improvement in incidence rates of VAP/VAE and estimate the compliance rate of VAP preventative strategies. Results: The incidence rate of VAP/VAE was 9.3 per 1000 ventilator days (VAP/VAE) based on end of ventilation and 10.2 (VAP) and 10.4 (VAE) per 1000 ventilator days based on when the patients were no longer at risk. The specificity of the new VAE surveillance tool was high with a slight agreement between the tools. The...

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