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Variability in Mean Duration of Mechanical Ventilation among Community Hospitals

Published online by Cambridge University Press:  02 January 2015

Michael Klompas*
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts Infection Control Department, Brigham and Women's Hospital, Boston, Massachusetts
Ken P. Kleinman
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Anita Karcz
Affiliation:
Institute for Health Metrics, Burlington, Massachusetts
*
Michael Klompas, MD, MPH, 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

We explored intensive care units' mean ventilator-days per patient as a possible objective alternative to ventilator-associated pneumonia rates for assessing quality of care for ventilated Patients. Mean ventilator-days per patient varied 4-fold within a network of community hospitals despite adjusting for multiple patient and hospital factors. Further assessment of this metric is warranted.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012 

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