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| Name | Class |
|---|---|
| Ministry of Health, Saudi Arabia | OTHER_GOV |
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This is a pre-post implementation cohort study. This is a data driven quality improvement project which aims to improve the care of mechanically ventilated patients through the implementation of a bundle of evidence based practices, with a goal of reducing ventilator associated events and mortality.
NASAM is a national collaborative quality improvement project in Saudi Arabia which aims to:
The plan of this quality improvement project is to extend the implementation to a total of 100 ICUs in collaboration with multiple health systems across the country. A significant component of this project includes measuring the safety culture of ICUs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mechanically Ventilated Patients | All patients admitted to the critical care unit and require mechanical ventilation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evidence-based practices | Other | Implementation of evidence-based practices |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ventilator-associated events | Ventilator-associated events rate per 1000 ventilator days in 18 months | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Sub-glottic endotracheal tube compliance rate | The percentage of ventilator days with sub-glottic endotracheal tube use | 18 months |
| Head of bed elevation compliance rate | The percentage of ventilator days with head of bed elevation ≥30 degrees |
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Inclusion Criteria:
Exclusion Criteria:
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Mechanically ventilated patients
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| Name | Affiliation | Role |
|---|---|---|
| Yaseen M Arabi, MD | King Abdullah Medical City, Ministry of National Guard Health Affairs | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Intensive Care Unit, King Abdulaziz Medical City, National Guard Health Affairs | Riyadh | 11426 | Saudi Arabia | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36716310 | Derived | Arabi YM, Al Aseri Z, Alsaawi A, Al Khathaami AM, Al Qasim E, Alzahrani AA, Al Qarni M, Abdukahil SAI, Al-Dorzi HM, Alattasi A, Mandourah Y, Alaama TY, Alabdulaali MK, Alqahtani A, Shuaibi A, Al Qarni A, Alkatheri M, Al Hazme RH, Vishwakarma RK, Aldibasi O, Alshahrani MS, Attia A, Alharthy A, Mady A, Abdelrahman BA, Mhawish HA, Abdallah HA, Al-Hameed F, Alghamdi K, Alghamdi A, Almekhlafi GA, Qasim SAH, Al Haji HA, Al Mutairi M, Tashkandi N, Alabbasi SO, Al Shehri T, Moftah E, Kalantan B, Matroud A, Naidu B, Al Zayer S, Burrows V, Said Z, Soomro NA, Yousef MH, Fattouh AA, Tahoon MA, Muhammad M, Alruwili AM, Al Hanafi HA, Dandekar PB, Ibrahim K, AlHomsi M, Al Harbi AR, Saleem A, Masih E, Al Rashidi NM, Amanatullah AK, Al Mubarak J, Al Radwan AAA, Al Hassan A, Al Muoalad S, Alzahrani AA, Chalabi J, Qureshi A, Al Ansari M, Sallam H, Elhazmi A, Alkhaldi F, Malibary A, Ababtain A, Latif A, Berenholtz SM; Saudi Critical Care Trials Group. Impact of a national collaborative project to improve the care of mechanically ventilated patients. PLoS One. 2023 Jan 30;18(1):e0280744. doi: 10.1371/journal.pone.0280744. eCollection 2023. |
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| ID | Term |
|---|---|
| D053717 | Pneumonia, Ventilator-Associated |
| ID | Term |
|---|---|
| D000077299 | Healthcare-Associated Pneumonia |
| D003428 | Cross Infection |
| D007239 | Infections |
| D011014 | Pneumonia |
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| 18 months |
| Spontaneous awakening trial (SAT) compliance rate | The percentage of ventilator days with spontaneous awakening trial (SAT) | 18 months |
| Percentage of ventilated patient days without sedation | The percentage of ventilated patient days without sedation use | 18 months |
| Spontaneous breathing trials (SBT) compliance rate | The percentage of ventilator days with spontaneous breathing trial (SBT) | 18 months |
| Percentage of ventilated patient days without neuromuscular blockers | The percentage of ventilated patient days without neuromuscular blockers | 18 months |
| Percentage of out of bed mobility | The percentage of ventilated patient days with out of bed mobility | 18 months |
| Percentage of CAM-ICU negative (no delirium) | The percentage of ventilator days with CAM-ICU negative (no delirium) | 18 months |
| 90-day mortality | The 90-day ICU mortality rate of ventilated patients | 90 days |
| Mechanical ventilation duration | The duration of mechanical ventilation in calendar days | 90 days |
| ICU length of stay | The number of calendar days from ICU admission to discharge from ICU | 90 days |
| King Abdullah International Medical Research Center |
| Riyadh |
| 22490 |
| Saudi Arabia |
| D012141 |
| Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |