A Quality Improvement Initiative to Evaluate the Effectiveness of the ABCDEF Bundle on Sepsis Outcomes.

Autor: Loberg, Rachel A., Smallheer, Benjamin A., Thompson, Julie A.
Předmět:
DIAGNOSIS of delirium
NURSING audit
NURSING education
EVALUATION of medical care
LENGTH of stay in hospitals
INTENSIVE care units
HOSPITAL respiratory services
INTENSIVE care nursing
PROFESSIONS
NONPROFIT organizations
ACQUISITION of data methodology
PAIN measurement
NURSING
EVALUATION of human services programs
PAIN
CRITICALLY ill
MECHANICAL ventilators
CONSCIOUS sedation
LEADERSHIP
PATIENT readmissions
PATIENTS
MEDICAL personnel
SEPSIS
HUMAN services programs
HOSPITAL mortality
ARTIFICIAL respiration
URBAN hospitals
PRE-tests & post-tests
EARLY ambulation (Rehabilitation)
MEDICAL protocols
PATIENTS' families
T-test (Statistics)
QUALITY assurance
LEGAL compliance
HOSPITAL wards
MEDICAL records
DESCRIPTIVE statistics
HEALTH care teams
DELIRIUM
STATISTICAL sampling
RESPIRATION
EDUCATIONAL outcomes
NURSING assessment
PAIN management
Zdroj: Critical Care Nursing Quarterly; Jan-Mar2022, Vol. 45 Issue 1, p42-53, 12p
Abstrakt: Sepsis affects 1.7 million Americans annually and often requires an intensive care unit (ICU) stay. Survivors of ICU can experience long-term negative effects. This quality improvement initiative was designed to increase compliance with ABCDEF bundle elements and improve clinical outcomes. A significant improvement was seen in the completion of spontaneous awakening and breathing trials (P = .002), delirium assessment (P = .041), and early mobility (P = .000), which was associated with a reduction in mortality and 30-day readmission rates. Findings were consistent with other research that demonstrated an improvement in care delivery and some clinical outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index
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