• Critical care nurse · Feb 2019

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

    • 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, Barnes-Daly Mary Ann MA Mary Ann Barnes-Daly is a clinical performance improvement consultant, Sutter Health., Patricia J Posa, J Matthew Aldrich, Juliana Barr, Shannon S Carson, William D Schweickert, Diane G Byrum, Lori Harmon, E Wesley Ely, and Michele C Balas.
    • Joanna Stollings is a clinical pharmacist, Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee. joanna.stollings@vanderbilt.edu.
    • Crit Care Nurse. 2019 Feb 1; 39 (1): 36-45.

    AbstractThe 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.©2019 American Association of Critical-Care Nurses.

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