Effects of increasing compliance with minimal sedation on duration of mechanical ventilation

Effects of increasing compliance with minimal sedation on duration of mechanical ventilation: a quality improvement intervention. Critical care, 2012, 16: R78.

Amaral, A., et al.


http://ccforum.com/content/16/3/R78/abstract


In the past two decades, healthcare adopted industrial strategies for process measurement and control. In the industry model, care is taken to avoid minimal deviations from a standard. In healthcare there is scarce data to support that a similar strategy can lead to better outcomes. Briefly, when compliance is high, further attempts to improve uptake of a process are seldom made. Our intensive care unit (ICU) improved the compliance with minimizing sedation from a high baseline of 80.4% (95% CI: 66.9 to 90.2) to 96.2% (95% CI: 95.2 to 97.0) 12 months after a quality improvement initiative.