Alberta Health Services
The Calgary Health Region (Alberta Health Services), with the support of the Canadian ICU Collaborative, has charged multidisciplinary critical care teams with the responsibility of reducing the incidence of VAP. Several interventions, including a VAP bundle, were utilized and applied across an entire health region. VAP rates have steadily declined over the last 15 months and have been largely under the goal of 9.8 cases/1000 ventilator days. The team's success in lowering VAP has not only provided the momentum for sustained improvement and spread to other areas, but has also resulted in overall improvements in health outcomes and resource utilization within the critical care units (Safer Healthcare Now! One Pager).
Oral Hygiene for Pneumonia Prevention
Many care-dependent clients in acute surgical settings are at risk for hospital-acquired pneumonia. A concern about high HAP rates on the neurosurgical ward at Royal Columbian Hospital (RCH) was identified by the Clinical Nurse Specialist (CNS). A multidisciplinary team was formed, led by the CNS and a Speech Language Pathologist (SLP) (Accreditation Canada, 2015).
I COUGH Program: Using ACS NSQIP Data to Develop a Standard of Care for Post-Operative Pneumonia Prevention
This practice was recognized as a Promising Practice by the Health Council of Canada using the Health Innovation Portal Evaluation Framework (Accreditation Canada, 2015).