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Developing a New, National Approach to Surveillance for Ventilator-Associated Events: Executive Summary

Published online by Cambridge University Press:  02 January 2015

Shelley S. Magill*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA
Michael Klompas
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA Infection Control Department, Brigham and Women's Hospital, Boston, MA Society for Healthcare Epidemiology of America, Arlington, VA
Robert Balk
Affiliation:
Division of Pulmonary and Critical Care Medicine, Rush University School of Medicine, Chicago, IL Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine
Suzanne M. Burns
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine School of Nursing, Critical and Acute Care, University of Virginia, Charlottesville, VA
Clifford S. Deutschman
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
Daniel Diekema
Affiliation:
Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa City, IA Healthcare Infection Control Practices Advisory Committee Surveillance Working Group, Atlanta, GA
Scott Fridkin
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA
Linda Greene
Affiliation:
Infection Prevention and Control Department, Rochester General Health System, Rochester, NY Association for Professionals in Infection Control and Epidemiology, Washington, DC
Alice Guh
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA
David Gutterman
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Department of Medicine, Medical College of Wisconsin, Milwaukee, WI
Beth Hammer
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Department of Cardiology, Zablocki VA Medical Center, Milwaukee, WI
David Henderson
Affiliation:
Hospital Epidemiology and Quality Improvement, The Clinical Center, National Institutes of Health, Bethesda, MD
Dean R. Hess
Affiliation:
Department of Respiratory Care, Massachusetts General Hospital, Boston, MA Department of Anesthesia, Harvard Medical School, Boston, MA American Association for Respiratory Care, Irving, TX
Nicholas S. Hill
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Division of Pulmonary and Critical Care Medicine, Tufts Medical Center, Boston, MA
Teresa Horan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA
Marin Kollef
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Division of Pulmonary and Critical Care Medicine, Washington University, St. Louis, MO
Mitchell Levy
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Division of Pulmonary, Critical Care, and Sleep, Warren Alpert Medical School at Brown University, Rhode Island Hospital, Providence, RI
Edward Septimus
Affiliation:
Department of Internal Medicine, Texas A&M Health Science Center, College Station, TX Infectious Diseases Society of America, Arlington, VA
Carole VanAntwerpen
Affiliation:
New York State Department of Health, Bureau of Healthcare-Associated Infections, Albany, NY Council of State and Territorial Epidemiologists, Atlanta, GA
Don Wright
Affiliation:
Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, Washington, DC
Pamela Lipsett
Affiliation:
Critical Care Societies Collaborative-American Association of Critical-Care Nurses, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine Department of Surgery, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
*
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-24, Atlanta, GA 30329 (smagill@cdc.gov)

Extract

This article is an executive summary of a report from the Centers for Disease Control and Prevention Ventilator-Associated Pneumonia Surveillance Definition Working Group, entitled “Developing a new, national approach to surveillance for ventilator-associated events” and published in Critical Care Medicine. The full report provides a comprehensive description of the Working Group process and outcome.

In September 2011, the Centers for Disease Control and Prevention (CDC) convened a Ventilator-Associated Pneumonia (VAP) Surveillance Definition Working Group to organize a formal process for leaders and experts of key stakeholder organizations to discuss the challenges of VAP surveillance definitions and to propose new approaches to VAP surveillance in adult patients (Table 1).

Type
National Surveillance Definitions: An Update
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Klompas, M, Khan, Y, Kleinman, K, et al. Multicenter evaluation of a novel surveillance paradigm for complications of mechanical ventilation. PLoS One. 2011;6:e18062.Google Scholar
2.Klompas, M, Magill, S, Robicsek, A, et al. Objective definitions for ventilator-associated pneumonia. Crit Care Med. 2012;40:31543161.Google Scholar