Table 1: Summary of the conducted studies.

Study Design Sample Intervention Control Results Distinctive Features
Starmer et al.
(2008)
Before and
after the study
not clear (presumably the nursing staff) Ventilator management dashboard, presented as a screensaver and accessible from EMR with indicators for each patient for each patient for each element of ventilator management bundle none Increasing
compliance with
bundle elements
(RASS score,
weaning, Head of
Bed adjustment, OB,
oral care). Nurse
Managers and
Charge Nurses note
that dashboard
allows them to more
quickly see when a
nurse is
overloaded with
patient and can
divert resources.



Each indicator has
traffic light status
(green done,
yellow imminent,
red overdue/not
done).
Indicators are not
always up to date
as reliant on timely
documentation –
problematic if
workflow uses
‘batch’
Documentation
Zayfudin et al. (2009) Interrupted time
series analysis
Pre-intervention
period January 2005-june 2007 (30 Months), implementation in July 222007, post- intervention period August 2007- July 2008
(12 Months)
Nursing and
medical staff
Ventilator
management
dashboard, presented
as a screensaver with
indicators for each
patient for each element of ventilator
management bundle
None Average compliance
with ventilator
bundle improved
from 39% in August
2007 to 89% in July
2008 (P < .001).


Rates of ventilator- associated pneumonia(VAP) decreased from a mean(SD) of 15.2(7.0) to 9.3(4.9)
events per 1000
ventilator days after
introduction of the
dashboard (P = .01).
Quarterly VAP rates
were significantly
reduced in the
November 2007
through January
2008 and February
through April 2008
periods (P < .05).
For the August
through October
2007 and May
through July 2008
quarters, the
observed rate
reduction was not
statistically
significant.
Use of color coding
for indicators;
green = in
compliance, red =
out of compliance,
yellow = soon due Managers received
daily reports on
compliance levels
Debra
(2013)
Before and after the intervention, the implementation of the project was conducted since October 2009. The time interval of before and after is not clear. Nursing and
medical staff
Ventilator management dashboard, presented as a screen, provided through an electronic health record for each patient as well as the management of pre-defined guidelines relating to the ventilator. None In the year prior to the pilot
project, the pilot ICU had 3.07 cases of VAP per 1000 ventilator.In the year
after the onset of the project, there were 0 cases of VAP
an individual nurse may take a quick glance at the monitor
and see that one of his assigned ventilated patients has a “green” status for periodic
wean assessment and therefore does not need immediate attention, but another ventilated patient may show a “red” status for daily oral care, meaning the nurse needs
to complete that activity..
Heather (2012) Before and after the intervention. The implementation of the project was conducted since 2007 to 2010. Nursing and
medical staff
The quality dashboard connected to the medical records of a patient displaying the status of doing the guidelines on the monitor in the ICU. None This had led to a 63%
reduction in the number of VAP cases over
the past 4 years although improving our management of those cases that occur through
appropriate antimicrobial therapy based on
local microbiology.
No cases have been mentioned.