Evidence-based clinical improvement for mechanically ventilated patients.

Debra C. Hampton, Deborah Griffith, Alan Howard

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Bundling or grouping together evidence-based interventions to improve care for the mechanically ventilated patient was piloted by a 10-bed medical-surgical critical care unit of a hospital. The bundled care interventions included: (a) keeping the head of bed elevated at 30 degrees, (b) instituting daily interruption of continuous sedative infusion, (c) assessing readiness to wean using a rapid-wean assessment guide, (d) initiating deep venous thrombosis prophylaxis, and (e) implementing peptic ulcer disease prophylaxis. The interventions were implemented using a plan-do-check-act quality-improvement methodology. Results indicated that the use of bundled interventions for mechanically ventilated patients could decrease average ventilator times and average length of stay with no concomitant increase in reintubations. Average mortality rates and the number of adverse events per 100 patient days also were reduced.

Original languageEnglish
Pages (from-to)160-165
Number of pages6
JournalRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
Issue number4
StatePublished - 2005

ASJC Scopus subject areas

  • Nursing (all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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