Introducing the Comprehensive Unit-based Safety Program for mechanically ventilated patients in Saudi Arabian Intensive Care Units

• Published in: Annals of thoracic medicine Vol. 12; no. 1; pp. 11 - 16
• Main Authors: Khan, Raymond, Aljuaid, Maha, Aqeel, Hanan, Aboudeif, Mohammed, Elatwey, Shaimaa, Shehab, Rajeh, Mandourah, Yasser, Maghrabi, Khalid, Hawa, Hassan, Khalid, Imran, Qushmaq, Ismael, Latif, Asad, Chang, Bickey, Berenholtz, Sean, Tayar, Sultan, Al-Harbi, Khloud, Yousef, Amin, Amr, Anas, Arabi, Yaseen
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.01.2017; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Brief Report; Care bundles; Comprehensive Unit-based Safety Program; Health aspects; healthcare-associated infections; infection control; Intensive care units; patient safety; Safety and security measures; Ventilation; ventilator-associated pneumonia; Saudi Arabia; ventilator-associated pneumonia; patient safety; infection control; Care bundles; Comprehensive Unit-based Safety Program; healthcare-associated infections
• ISSN: 1817-1737; 1998-3557
• DOI: 10.4103/1817-1737.197765

Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs). Earlier initiatives used the concept of ventilator care bundles (sets of interventions), with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization). The approach of the Comprehensive Unit-based Safety Program (CUSP) was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework. In August 2015, 17 Intensive Care Units (ICUs) (a total of 271 beds) in eight hospitals in the Kingdom of Saudi Arabia joined the CUSP for MVPs (CUSP 4 MVP) that was conducted in 235 ICUs in 169 US hospitals and led by the Johns Hopkins Armstrong Institute for Patient Safety and Quality. The CUSP 4 MVP project will set the stage for cooperation between multiple hospitals and thus strives to create a countrywide plan for the management of all MVPs in Saudi Arabia.