Implementing the ABCDEF Bundle: Top 8 Questions Asked During the ICU Liberation ABCDEF Bundle Improvement Collaborative.

Abstract

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.

• Authors: 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
• Journal: Critical care nurse (Crit Care Nurse) Vol. 39 Issue 1 Pg. 36-45 (Feb 2019) ISSN: 1940-8250 [Electronic] United States
• PMID: 30710035 (Publication Type: Journal Article)
• Copyright: ©2019 American Association of Critical-Care Nurses.

Topics

• Cooperative Behavior
• Critical Care (standards)
• Critical Illness (therapy)
• Evidence-Based Practice (standards)
• Humans
• Intensive Care Units (standards)
• Patient Care Bundles (standards)
• Quality Improvement