Prevent Device/Procedure Infections
Staphylococcus aureus is the most commonly-identified Gram-positive organism causing both ventilator-associated pneumonia (VAP) and non-ventilator healthcare-associated pneumonia (NV-HAP). Prevention of VAP and NV-HAP is a crucial, yet sometimes-overlooked aspect of MRSA prevention.
This section focuses on preventing device-related infections by reducing or eliminating VAP. While NV-HAP is technically not device-related, there are some common themes to prevention.
Presentations
After reviewing the content of this presentation, viewers will be able to:
- Discuss the causes and risks associated with hospital-acquired pneumonia.
- Describe the current guidelines and key best practice recommendations for preventing hospital-acquired pneumonia.
- Review the current recommendations for implementation of a bundled approach to reduce hospital-acquired pneumonia.
Documents:
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP– Slides (PPTX, 6.6 MB)
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP– Facilitator Guide (.DOCX, 3.6 MB)
One-Pagers
One Pager: VAP Prevention: Essential Practices One-Pager (DOCX, 986 KB)
Provides a concise summary of key essential practices for prevention of VAP.
One Pager: NV-HAP Prevention: Essential Practices One-Pager (DOCX, 305 KB)
Provides a concise summary of key essential practices for prevention of NV-HAP.
Tools & Resources
CUSP Tool: Daily Goals Checklist for ICU (DOCX, 413 KB)
CUSP Tool: Daily Goals Checklist for Non-ICU (DOCX, 393 KB)
The Daily Goals Checklist is a tool designed to guide healthcare teams in reviewing patient needs and setting daily goals for each patient.
More detail on the Daily Goals process can be found on the AHRQ website:
These are the surveillance definitions used by the CDC National Health Safety Network. Useful links are highlighted below:
AHRQ Toolkit To Improve Safety for Mechanically Ventilated Patients (2017)
For more information and resources on improving care for patients on mechanical ventilation, please visit the AHRQ Toolkit To Improve Safety for Mechanically Ventilated Patients. This toolkit was designed to help units improve safety and quality of care for their mechanically ventilated patients.
Follow the below links to access available guidelines on prevention of VAP.
Follow the below links to access available guidelines on prevention of NV-HAP.
- SHEA: Strategies To Prevent Ventilator-Associated Pneumonia, Ventilator-Associated Events, and Nonventilator Hospital-Acquired Pneumonia in Acute-Care Hospitals: 2022 Update
- APIC: Practice Position Statement: Non-Ventilator Healthcare-Associated Pneumonia (NV-HAP)
- APIC: Implementation Guide on Non-Ventilator Healthcare-Associated Pneumonia (NV-HAP)
- The Joint Commission: Quick Safety Newsletter: Preventing Non-Ventilator Hospital-Acquired Pneumonia
- VHA: Hospital Acquired Pneumonia Prevention by Engaging Nurses (HAPPEN) Initiative
CUSP Topic: What Are The 4 Es?
The 4 Es – Engage, Educate, Execute, and Evaluate – focuses on both the technical aspects of improving prevention practices and the adaptive aspects of establishing a culture of patient safety among staff and leadership. This link will direct you to the CUSP topic page on the 4 Es.
