Chronic Assisted Ventilator Care
Long Term Ventilation (LTV) patients are those patients in a critical care unit suffering from a severe respiratory impairment who require ventilator support for more than six hours per day for more than 21 days, but who do not require additional services provided by a critical care unit (i.e., patients who are otherwise medically stable). In 2011, West Park Health Centre and the Toronto Central LHIN developed a comprehensive plan for the ongoing care and management of patients in the Toronto Central LHIN requiring chronic assisted ventilator care.
Over the 2012/13 fiscal year, Critical Care Services Ontario will build on the Toronto Central LHIN plan and establish a strategic framework and implementation plan to increase critical care capacity by developing transition programs for LTV patients and mitigate capacity pressures by developing early recognition programs.
Developing Antimicrobial Stewardship in Ontario ICUs
Hospital-acquired infections (HAIs) are unquestionably one of the greatest threats to patient safety, and over time, HAIs have become increasingly drug-resistant. Antimicrobial-resistant organisms (AROs) are more difficult and costly to treat, and the number of new antibiotics being developed has dropped precipitously. Owing to their clinical status and the complexity of their care, patients admitted to an intensive care unit (ICU) are the most likely to acquire an antimicrobial-resistant HAI. Critical Care Services Ontario is working closely with the Mount Sinai Hospital-University Health Network Antimicrobial Stewardship Program (MSH-UHN ASP) to monitor antimicrobial usage in Ontario ICUs and to develop a knowledge-translation strategy for hospitals that do not yet have a formal antimicrobial stewardship program.