Implementation of a ventilator care bundle in the context of a patient safety improvement initiative

1
Implementation of a ventilator care bundle in
the context of a patient safety improvement
initiative a qualitative study.
Anna Pinto, Susan Burnett, Jonathan Benn, Stephen
Brett, Anam Parand, Sandra Iskander, Charles
Vincent Contact details Anna Pinto, Department
of Bio-Surgery Surgical Technology, Imperial
College London, 503, 5th Floor Wright Fleming
Building, St Marys Campus, Norfolk Place London
W2 1PG, UK Email a.pinto_at_imperial.ac.uk Tel
44 (0)20 7594 9725

• Background
• The issues surrounding practical implementation
  of quality improvement
• interventions in clinical units and the
  experience of staff involved in these
• initiatives has received limited attention
  despite being critical to the success
• of making evidence-based improvements to clinical
  processes.
• In this study we report a qualitative case study
  investigating social and
• methodological issues surrounding the
  implementation of a ventilator
• bundle across three UK National Health Service
  (NHS) organisations that
• participated in the first phase of the UK Safer
  Patients Initiative (SPI), drawing
• out the lessons for other units involved in
  similar improvement activities.
• The Safer Patients Initiative
• SPI is a patient safety improvement intervention
  developed by the
• Health Foundation in collaboration with the
  Institute for Healthcare
• Improvement (IHI), based on the Breakthrough
  Series Collaborative
• model 1 and IHIs work in the US 100,000 lives
  campaign 2.
• The main aim of the programme was to improve the
  reliability of front line

Results
Discussion This study provides a useful example
of how capability for continuous measurement and
improvement can be acquired by intensive care
units. Future initiatives that aim to improve the
delivery of care for the critically ill could
benefit from integrating in their methodology
consistent measurement and feedback of both
process compliance and outcome data. Identifying
adequate resources to capture process compliance
data seems to be key to providing feedback during
the change phase of any quality improvement
programme which involves modifying process of
care. References 1. IHI (2003) The Breakthrough
Series IHIs Collaborative Model for Achieving
Breakthrough Improvement. In IHI Innovation
Series white paper. Institute of Healthcare
Improvement. Available viahttp//www.ihi.org/IHI/
Topics/Improvement/SpreadingChanges/Literature/The
BreakthroughSeriesIHIsCollaborativeModelforAchievi
ngBreakthroughImprovement.htm. Accessed 25
February 2009 2. Berwick, D.M., Calkins, D.R.,
McCannon, C.J., and Hackbarth, A.D. (2006) The
100 000 Lives Campaign Setting a Goal and a
Deadline for Improving Health Care Quality. JAMA.
295(3) 324-327.