The ABCDEF bundle (A, assess, prevent, and manage pain; B, both spontaneous awakening and spontaneous breathing trials; C, choice of analgesic and sedation; D, delirium: assess, prevent, and manage; E, early mobility and exercise; and F, family engagement and empowerment) improves intensive care unit patient-centered outcomes and promotes interprofessional teamwork and collaboration. The Society of Critical Care Medicine recently completed the ICU Liberation ABCDEF Bundle Improvement Collaborative, a 20-month, multicenter, national quality improvement initiative that formalized dissemination and implementation strategies to promote effective adoption of the ABCDEF bundle. The purpose of this article is to describe 8 of the most frequently asked questions during the Collaborative and to provide practical advice from leading experts to other institutions implementing the ABCDEF bundle.
Implementing the ABCDEF Bundle: Top 8 Questions Asked During the ICU Liberation ABCDEF Bundle Improvement Collaborative
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Joanna L. Stollings, John W. Devlin, Brenda T. Pun, Kathleen A. Puntillo, Tamra Kelly, Ken D. Hargett, Alexandra Morse, Cheryl L. Esbrook, Heidi J. Engel, Christiane Perme, Mary Ann Barnes-Daly, Patricia J. Posa, J. Matthew Aldrich, Juliana Barr, Shannon S. Carson, William D. Schweickert, Diane G. Byrum, Lori Harmon, E. Wesley Ely, Michele C. Balas; Implementing the ABCDEF Bundle: Top 8 Questions Asked During the ICU Liberation ABCDEF Bundle Improvement Collaborative. Crit Care Nurse 1 February 2019; 39 (1): 36–45. doi: https://doi.org/10.4037/ccn2019981
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