Effects of a National Quality Improvement Collaborative on ABCDEF Bundle Implementation.

ABSTRACT:

Background

The ABCDEF bundle (Assess, prevent, and manage pain and Delirium; Both spontaneous awakening and breathing trials; Choice of analgesia/sedation; Early mobility; and Family engagement) improves intensive care unit outcomes, but adoption into practice is poor.

Objective

To assess the effect of quality improvement collaborative participation on ABCDEF bundle performance.

Methods

This interrupted time series analysis included 20 months of bundle performance data from 15 226 adults admitted to 68 US intensive care units. Segmented regression models were used to quantify complete and individual bundle element performance changes over time and compare performance patterns before (6 months) and after (14 months) collaborative initiation.

Results

Complete bun

SUBMITTER: Balas MC 

PROVIDER: S-EPMC9972543 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature