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| Name | Class |
|---|---|
| Vyaire Medical | INDUSTRY |
| Zoll Medical Corporation | INDUSTRY |
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Ventilator associated events (VAE) is a quality metric defined by 48 hours of stability followed by 48 hours of escalation of ventilator settings within the ICU. VAE have been associated with poor outcomes and increases the cost of care, yet is not easy to avoid. Operationalizing all the standards of care known to improve outcomes of those requiring mechanical ventilation in the critical care environment requires a comprehensive approach. ICU teams are encouraged to follow best practice protocols to help liberate and prevent VAEs. Yet, compliance with protocols in most ICUs is suboptimal for multiple reasons. With the advent of computerized mechanical ventilators capable of streaming data from breath to breath and biomedical integration systems (BMDI) such as Capsule (UTMB's BMDI system), software systems have been developed to help identify variances in the standard of care. Automation in near real-time ventilator data feedback has been shown to reduce the incidences of VAEs.
This quality improvement project will leverage Vyaire's Respiratory Knowledge Portal (RKP) to collect and store meaningful data regarding ventilator-associated events (VAE), alarm policy compliance, ventilator weaning, and lung protective analytics.
Goals:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | We will monitor without clinician use of the software. | |
| Use of RKP | Active Comparator | Use of RKP alerts to the standard of care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RKP Monitoring Software | Other | Use of RKP alerting and monitoring software. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Ventilator-Associated Events | 3-4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Ventilator Alarm Set Outside of Compliance | Ventilator alarms set by the RT | 3-4 months |
| Duration of Days on mechanical ventilation | Does the weaning of mechanical ventilation improve through the measurements of spontaneous breathing trials. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Medical Branch | Galveston | Texas | 77555 | United States |
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Monitoring 3-4 months prior to intervention or use of the software.
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| 3-4 months |
| ID | Term |
|---|---|
| D053120 | Respiratory Aspiration |
| D012131 | Respiratory Insufficiency |
| D055397 | Ventilator-Induced Lung Injury |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D055370 | Lung Injury |
| D008171 | Lung Diseases |
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