Sepsis Clinical Trial
Official title:
Hospital Acquired and Ventilator Associated Pneumonia : Impact of the New French Guidelines on Patients Care and Outcomes.
hospital-acquired pneumonia are a common disease in intensive care unit. The prevention, the diagnosis and the treatment of hospital acquired pneumonia are a frequent challenge. Nevertheless it seems that there are great differences in standard of care between hospitals. The investigators hypothesized that medical education and implementation of evidence-base guidelines can reduce the duration of mechanical ventilation in patients presenting of hospital acquired pneumonia
The before period (phase 1) will consist of all consecutive patients admitted to the
participating ICUs before the national guidelines publication concerning healthcare
associated pneumonia.
The second period (phase 2) will consist of all consecutive patients admitted to the
participating ICUs after the publication of the national guidelines publication concerning
healthcare associated pneumonia.
Afterward, an interphase will occur during which all physicians, residents, physiotherapists
and nurses will receive a formal training for the processes and procedures related to the new
guidelines published in september 2017.
In the intervention group, on top of the standard training, the centers receive an analysis
of the evolution of the practices of their center and the future of their patients between
phases 1 and 2, as well as these same values for the data set. The centers are then called to
conduct a meeting to determine their priority improvement points based on this audit.
The third and final period (phase 3) will consist of all consecutive patients admitted to the
participating ICUs after the formal training.
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