Using VAP bundle reduces the incidence of VAP

Two surgical intensive care units that have implemented the Institute for Healthcare Improvement's ventilator-associated pneumonia (VAP) bundle reduced the number of VAP cases from 10.2/1000 ventilator days to 4.3/1000 ventilator days.

The Institute for Healthcare Improvement VAP bundle includes head-of-bed elevation, extubation assessment, sedation break, peptic ulcer prophylaxis, and deep vein thrombosis prophylaxis. A daily checklist was considered compliant if all 5 items were performed for each patient.

A study in the Archives of Surgery concludes that the initiation of the VAP bundle is associated with a significantly reduced incidence of VAP in patients in the SICU, which can lead to significant cost savings.

(Sources: Patient Safety Monitor Alert,, May 19, 2010; The Archives of Surgery,, May 2010)