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Impact of Enhanced Ventilator Care Bundle Checklist on Nursing Documentation in an Intensive Care Unit

Malouf-Todaro, Nabia DNP, MBA, RN; Barker, James MD; Jupiter, Daniel PhD; Tipton, Phyllis Hart PhD, RN; Peace, Jane PhD, RN

doi: 10.1097/NCQ.0b013e31827f7740

Ventilator-associated pneumonia is a hospital-acquired infection that may develop in patients 48 hours after mechanical ventilation. The project goal was to determine whether a ventilator-associated pneumonia care bundle checklist embedded into an existing electronic health record would increase completeness of nursing documentation in an intensive care unit setting. With the embedded checklist, there were significant improvements in nursing documentation and a decreased incidence of ventilator-associated pneumonia.

Encore Health Resources, Houston (Dr Malouf-Todaro); Scott & White Healthcare (Drs Barker and Tipton); Department of Surgery (Dr Jupiter), Texas A&M Health Sciences Center, College of Medicine (Dr Barker); Scott &White Memorial Clinic and Hospital (Dr Jupiter), Temple, Texas; and Duke University School of Nursing, Durham, North Carolina (Dr Peace).

Correspondence: Nabia Malouf-Todaro, DNP, MBA, RN, Encore Health Resources, Houston, TX 77010 (

The authors declare no conflict of interest.

Accepted for publication: November 26, 2012

Published online before print: January 4, 2013

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins