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Discordance between Novel and Traditional Surveillance Definitions for Ventilator-Associated Pneumonia: Insights and Opportunities to Improve Patient Care

Published online by Cambridge University Press:  10 May 2016

Michael Klompas*
Affiliation:
Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts; and Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
*
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 6th Floor, Boston, MA 02215 (mklompas@partners.org).

Abstract

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Type
Letter to the Editor
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

1. Chang, H-C, Kung, S-C, Wang, C-M, Liu, W-L. Discordance between novel and traditional surveillance paradigms of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2014;35(9):11951196 (in this issue).CrossRefGoogle ScholarPubMed
2. Stevens, JP, Kachniarz, B, Wright, SB, et al. When policy gets it right: variability in U.S. hospitals’ diagnosis of ventilator-associated pneumonia. Crit Care Med 2014;42(3):497503.Google Scholar
3. Klein Klouwenberg, PM, Ong, DS, Bos, LD, et al. Interobserver agreement of Centers for Disease Control and Prevention criteria for classifying infections in critically ill patients. Crit Care Med 2013;41(10):23732378.CrossRefGoogle ScholarPubMed
4. Klompas, M. Interobserver variability in ventilator-associated pneumonia surveillance. Am J Infect Control 2010;38(3):237239.CrossRefGoogle ScholarPubMed
5. Tejerina, E, Esteban, A, Fernandez-Segoviano, P, et al. Accuracy of clinical definitions of ventilator-associated pneumonia: comparison with autopsy findings. J Crit Care 2010;25(1):6268.Google Scholar
6. Klompas, M. Does this patient have ventilator-associated pneumonia? JAMA 2007;297(14):15831593.Google Scholar
7. Loeb, MB, Carusone, SB, Marrie, TJ, et al. Interobserver reliability of radiologists’ interpretations of mobile chest radiographs for nursing home-acquired pneumonia. J Am Med Dir Assoc 2006;7(7):416419.Google Scholar
8. Young, M, Marrie, TJ. Interobserver variability in the interpretation of chest roentgenograms of patients with possible pneumonia. Arch Intern Med 1994;154(23):27292732.Google Scholar
9. Albaum, MN, Hill, LC, Murphy, M, et al; PORT Investigators. Interobserver reliability of the chest radiograph in community-acquired pneumonia. Chest 1996;110(2):343350.Google Scholar
10. Skrupky, LP, McConnell, K, Dallas, J, Kollef, MH. A comparison of ventilator-associated pneumonia rates as identified according to the National Healthcare Safety Network and American College of Chest Physicians criteria. Crit Care Med 2012;40(1):281284.Google Scholar
11. Thomas, BW, Maxwell, RA, Dart, BW, et al. Errors in administrative-reported ventilator-associated pneumonia rates: are never events really so? Am Surg 2011;77(8):9981002.Google Scholar
12. Novosel, TJ, Hodge, LA, Weireter, LJ, et al. Ventilator-associated pneumonia: depends on your definition. Am Surg 2012;78(8):851854.Google Scholar
13. Klompas, M, Magill, S, Robicsek, A, et al. Objective surveillance definitions for ventilator-associated pneumonia. Crit Care Med 2012;40(12):31543161.Google Scholar
14. Klompas, M, Kleinman, K, Khan, Y, et al. Rapid and reproducible surveillance for ventilator-associated pneumonia. Clin Infect Dis 2012;54:370377.Google Scholar
15. Magill, SS, Klompas, M, Balk, R, et al. Developing a new, national approach to surveillance for ventilator-associated events. Crit Care Med 2013;41(11):24672475.Google Scholar
16. Klompas, M, Khan, Y, Kleinman, K, et al. Multicenter evaluation of a novel surveillance paradigm for complications of mechanical ventilation. PLoS ONE 2011;6(3):e18062.CrossRefGoogle ScholarPubMed
17. Hayashi, Y, Morisawa, K, Klompas, M, et al. Toward improved surveillance: the impact of ventilator-associated complications on length of stay and antibiotic use in patients in intensive care units. Clin Infect Dis 2013;56(4):471477.CrossRefGoogle ScholarPubMed
18. Klein Klouwenberg, PM, van Mourik, MS, Ong, DS, et al. Electronic implementation of a novel surveillance paradigm for ventilator-associated events: feasibility and validation. Am J Respir Crit Care Med. 2014;189(8):947955.CrossRefGoogle ScholarPubMed
19. Mekontso Dessap, A, Katsahian, S, Roche-Campo, F, et al. Ventilator-associated pneumonia during weaning from mechanical ventilation: role of fluid management. Chest 2014;146(1):5865.Google Scholar
20. Klompas, M. Complications of mechanical ventilation—the CDC’s new surveillance paradigm. N Engl J Med 2013;368(16):14721475.CrossRefGoogle ScholarPubMed
21. Klompas, M. Ventilator-associated events surveillance: a patient safety opportunity. Curr Opin Crit Care 2013;19(5):424431.Google Scholar
22. Muscedere, J, Sinuff, T, Heyland, D, et al. The clinical impact and preventability of ventilator-associated conditions in critically ill mechanically ventilated patients. Chest 2013;144(5):14531460.Google Scholar
23. Klompas, M, Li, L. Beyond pneumonia: improving care for ventilated patients. Lancet Infect Dis 2013;13(8):640641.CrossRefGoogle ScholarPubMed