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Báo cáo y học: "Changeovers of vasoactive drug infusion pumps: impact of a quality improvement program"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Changeovers of vasoactive drug infusion pumps: impact of a quality improvement program. | Available online http ccforum.eom content 11 6 R133 Research Changeovers of vasoactive drug infusion pumps impact of a quality improvement program Laurent Argaud1 Martin Cour1 Olivier Martin1 Marc Saint-Denis1 Tristan Ferry1 Agnes Goyatton2 and Dominique Robert1 Open Access 1Hospices Civils de Lyon Hôpital Edouard Herriot Department of Emergency and Medical Intensive Care Lyon F-69003 France 2Hospices Civils de Lyon Hôpital de la Croix-Rousse Medical Intensive Care Unit Lyon F-69004 France Corresponding author Laurent Argaud laurent.argaud@chu-lyon.fr Received 16 Apr 2007 Revisions requested 22 May 2007 Revisions received 29 Nov 2007 Accepted 28 Dec 2007 Published 28 Dec 2007 Critical Care 2007 11 R133 doi 10.1186 cc6209 This article is online at http ccforum.com content 11 6 R133 2008 Argaud et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Hemodynamic instability following the changeover of vasoactive infusion pump CVIP is a common problem in the intensive care unit. Several empiric methods are used to achieve CVIP. We hypothesized that the variation in these procedures could generate some morbidity. We sought to assess the effects of the standardization of practice as a quality improvement program on the CVIP-induced incidents. Materials and methods We performed a prospective before-and-after intervention study including all adult patients with a diagnosis of cardiovascular failure who received a continuous infusion of vasoactive drugs or inotropic drugs. After a baseline preimplementation period phase 1 a standardized quick change method of CVIP using two syringe drivers was implemented in our intensive care unit phase 2 . Endpoints rate and distribution of incidents variations of systolic blood