The intervention
infections
HAND INFECTION, INFECTIONS
This collaborative aimed to improve the implementation of evidence-based practices, including the use of subglottic suctioning, SAT and SBT, head of bed elevation, and avoidance of neuromuscular blockers unless otherwise indicated [This initiative was designed as a data-driven project, using an electronic platform for data entry that allowed real-time benchmarking with ICUs from the same hospital, same healthcare system, and the whole cohort. Data on daily care process measures were collected twice per week on all mechanically ventilated patients. The steering committee provided regular feedback on performance, which was relayed to the frontline teams to guide improvement efforts.Before launching the project, a two-day workshop was conducted in November 2018 and attended by the multidisciplinary healthcare teams of participating ICUs. Additionally, webinars were conducted biweekly to provide training throughout the project, addressing best practices in patient safety and improving the care of mechanically ventilated patients (Participating ICUs formed unit-based multidisciplinary improvement teams consisting of physicians, nurses, respiratory therapists, and in some units, physiotherapists, and infection control practitioners, following the Comprehensive Unit-based Safety Program (CUSP) approach. This approach has been linked to large-scale reductions in healthcare-acquired infections [