Pengembangan Instrumen Surveilans Ventilator-Associated Events (VAE) Berbasis Algoritme National Healthcare Safety Network (NHSN)
Abstract
This research aims to develop a Ventilator-Associated Events (VAE) surveillance instrument based on the National Healthcare Safety Network (NHSN) in the intensive care unit (ICU). The method used is Research and Development with stages including literature study, observation evaluation, validity and reliability testing, and focus group discussions (FGD). The research results show that the development of an NHSN-based VAE surveillance instrument in the ICU consists of two sheets, namely the first sheet (patient identity, minimum daily PEEP, and FiO2) and the second sheet (IVAC PVAP criteria). The I-CVI test result is 1.00, and the KR 20 test is 0.96, which means it is valid and reliable. In conclusion, developing an NHSN-based VAE surveillance instrument in the ICU can be applied in hospitals to refine Ventilator-Associated Pneumonia (VAP) surveillance. This can objectively detect complications from using a ventilator due to infection or non-infection.
Keywords: Infection, Instruments, Surveillance, VAE, VAP
References
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Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation, Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6.
Bouadma, L., Sonneville, R., Orgaes, M. G., Darmon, M., Souweini, B., Voirtiot, G., Kalle, H., Schwebel, C., Toledeno, D. G., Dumenil, A. S., Argaud, L., Ruckly, S., Jamali, S., Planquette, B., Adrie, C., Lucet, J. C., Azoulay, E., & Timsit, J. F. (2015). Ventilator-Associated Events: Prevalence, Outcome, and Relationship With Ventilator-Associated Pneumonia, Critical Care Medicine, 43(9), pp. 1798–1806. https://doi.org/10.1097/CCM.0000000000001091
CDC. (2021). National Healthcare Safety Network (NHSN) Overview Patient Safety Component Manual. https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf
He, S., Wu, F., Wu, X., Xin, M., Ding, S., Wang, J., Ouyang, H., & Zhang, J. (2018). Ventilator-Associated Events after Cardiac Surgery: Evidence from 1,709 Patients, Journal of Thoracic Disease, 10(2), 776–783. doi: 10.21037/jtd.2018.01.49
Hendryadi, H. (2017). Validitas Isi: Tahap Awal Pengembangan Kuesioner, Jurnal Riset Manajemen dan Bisnis (JRMB) Fakultas Ekonomi UNIAT, 2(2), 169–178. https://doi.org/10.36226/jrmb.v2i2.47
Klompas, M., Magill, S., Strymish, J. M., Kleinman, K., Evans, r. S., Lloyd, J. F., Khan, Y., Yokoe, D. S., Stevenson, K., Samore, M., & Platt, R. (2012). Objective Surveillance Definitions for Ventilator-Associated Pneumonia, 40(12). https://doi.org/ 10.1097/CCM.0b013e318260c6d9
Klompas, M. (2019). Ventilator-Associated Events: What They are and What They are Not, Respiratory Care, 64(8), 953–961. https://doi.org/10.4187/respcare.07059
Klompas, M. & Berra, L. (2016). Should Ventilator-Associated Events become A Quality Indicator for Icus?, Respiratory Care, 61(6), 723–736. https://doi.org/ 10.4187/respcare.04548
Kumari, P., Datta, P., Gombar, S., Sharma, D., & Chander, J. (2021). Epidemiology and Clinical Outcome of Ventilator-Associated Events at A Tertiary Care Hospital From North India, Tropical doctor, 51(2), 162–167. https://doi.org/10.1177/0049475520982457
Magill, S. S. Li, Q., Gross, C., Dudeck, M., Bridson, K. A., & Erdward, J. R. (2016). Incidence and Characteristics of Ventilator-Associated Events Reported to the National Healthcare Safety Network in 2014∗’, Critical Care Medicine, 44(12), 2154–2162. https://doi.org/10.1097/CCM.0000000000001871
Papazian, L., Klompas, M. & Luyt, C. E. (2020). Ventilator-Associated Pneumonia in Adults: A Narrative Review, Intensive Care Medicine, 46(5), 888–906. https://doi.org/ 10.1007/s00134-020-05980-0
Putra, A. N. P., Wahyuni, I. D. & Rupiwardani, I. (2022). Program Pencegahan dan Pengendalian Infeksi (PPI) di Rumah Sakit X Kabupaten Malang, Media Husada Journal of Environmental Health, 2(1), 135–144. https://mhjeh.widyagamahusada.ac.id/index.php/mhjeh/article/view/24
Rachman, A. I., & Muhtar, F. (2022). ICU BUNDLES. Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran, 7(2), 7-17. https://jurnal.fk.untad.ac.id/index.php/mtj/article/view/618
Solikin, S., Adi, M. S. & Arso, S. P. (2020). Pencegahan Kejadian Ventilator-Associated Pneumonia (VAP) dengan Kepatuhan Pelaksanaan Bundle: Literature Review, Holistik Jurnal Kesehatan, 14(3), 354–368. https://doi.org/ 10.33024/hjk.v14i3.2661
Weinberger, J., Cocoros, N. & Klompas, M. (2021). Ventilator-Associated Events: Epidemiology, Risk Factors, and Prevention, Infectious Disease Clinics of North America, 35(4), 871–899. https://doi.org/10.1016/j.idc.2021.07.005
Yuniarti, I. F., Novrikasari, N. & Misnaniarti, M. (2021). Pengaruh Kualitas Sistem, Kualitas Informasi, Kualitas Pelayanan pada Kepuasan Pengguna dan Dampaknya pada Manfaat Bersih (Penelitian terhadap Sistem Informasi Surveilans Penyakit Tidak Menular), Jurnal Epidemiologi Kesehatan Komunitas, 6(1), 161–180. https://doi.org/10.14710/jekk.v6i1.8003
Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation, Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6.
