Rethinking Critical Care: Decreasing Sedation, Increasing Delirium Monitoring, and Increasing Patient Mobility
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Summary
This report describes a convenience sample of five participating organizations chosen in advance of knowing their clinical outcomes, demonstrating the necessary teamwork, improved processes, and increased reliability of daily work in the IHI-RCC program.
- Type
- article
- Published
- 2015-02-01
- Cited by
- 43
- References
- 51
- Access
- Open access
- OpenAlex
- https://openalex.org/W17035340
- Semantic Scholar
- https://api.semanticscholar.org/CorpusID:11467401
Keywords
Delirium, Sedation, Teamwork, Critically ill, Medicine
References
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- Sedation, delirium and mechanical ventilation: the ‘ABCDE’ approach
- ICU Early Physical Rehabilitation Programs: Financial Modeling of Cost Savings*
- Variable compliance with clinical practice guidelines identified in a 1-day audit at 66 French adult intensive care units*
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- Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project.
- Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously.
- Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm.
- Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit.
- Interventions to improve the physical function of ICU survivors: a systematic review.
- Protocolized and target-based sedation and analgesia in the ICU.
- Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative.
- Lorazepam Is an Independent Risk Factor for Transitioning to Delirium in Intensive Care Unit Patients
Cited by
- Early ICU Standardized Rehabilitation Therapy for the Critically Injured Burn Patient
- Pharmacist Leadership in ICU Quality Improvement
- Effects of different doses of dexmedetomidine on heart rate and blood pressure in intensive care unit patients.
- Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study.
- Implementation of Evidence-Based Critical Care Practices: A Sound Strategy, but Not for the Faint of Heart.
- Adapting the ABCDEF Bundle to Meet the Needs of Patients Requiring Prolonged Mechanical Ventilation in the Long-Term Acute Care Hospital Setting: Historical Perspectives and Practical Implications
- Limiting Sedation for Patients with ARDS – Time to Wake Up
- Improving Hospital Survival and Reducing Brain Dysfunction at Seven California Community Hospitals: Implementing PAD Guidelines Via the ABCDEF Bundle in 6,064 Patients*
- The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families
- Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies
- Seeing beyond monitors-Critical care nurses' multiple skills in patient observation: Descriptive qualitative study.
- Identifying Barriers to Delivering the Awakening and Breathing Coordination, Delirium, and Early Exercise/Mobility Bundle to Minimize Adverse Outcomes for Mechanically Ventilated Patients: A Systematic Review
- Organizational domains are associated with variation in ICU provider attitudes regarding the ABCDE bundle
- Perceptions of Workload Burden and Adherence to ABCDE Bundle Among Intensive Care Providers
- Does Early Mobility Lead to Decreased Ventilator Days
- Development of the Nurses' Care Coordination Competency Scale for mechanically ventilated patients in critical care settings in Japan: Part 2 Validation of the scale.
- Delirium in a Latin American intensive care unit. A prospective cohort study of mechanically ventilated patients
- The experience of intensive care nurses caring for patients with delirium: A phenomenological study.
- Nonadherence to Geriatric‐Focused Practices in Older Intensive Care Unit Survivors
- Nurses' perceived barriers and educational needs for early mobilisation of critical ill patients.
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